Ivylea Pharmacy
LBN: Ivylea Pharmacy Inc
Ivylea Pharmacy is an health care organization with primary practice located at 2446 Elmwood Ave , Kenmore NY 14217-2244. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ivylea Pharmacy Inc can be contacted via phone (716) 873-1444, or through Barons, Charles via phone (716) 873-1444.
Contact Information
Primary practice address
2446 Elmwood Ave
Kenmore NY 14217-2244
Phone: (716) 873-1444
Fax: (716) 873-5496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 028936 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1144324104 |
|---|---|
| LBN Legal business name | Ivylea Pharmacy Inc |
| DBA Doing business as | Ivylea Pharmacy |
| Authorized official | Barons, Charles DOCTOR OF PHARM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Apr 17th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144324104 | NPPES |
| New York | MEDICAID | 3125197 | |
| New York | MEDICAID | 03125197 | |
| New York | Other | 2059325 |
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