SUMMIT PARK PHARMACY INC NPI 1063427656

NPI Information

  • NPI: 1063427656
  • Provider Name: SUMMIT PARK PHARMACY INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 2578 NIAGARA FALLS BLVD
    SUITE 100
    NIAGARA FALLS, NY
    ZIP 14304
  • Phone: (716) 297-7151

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NPI Details

SUMMIT PARK PHARMACY INC is a pharmacy in Niagara Falls, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SUMMIT PARK PHARMACY INC NPI is 1063427656. The provider is registered as an organization entity type.

The provider's business location address is:

2578 NIAGARA FALLS BLVD
SUITE 100
NIAGARA FALLS, NY
ZIP 14304-681
Phone: (716) 297-7151
Fax: (716) 297-7110

The provider's authorized official is Christopher Sauls .
The authorized official title is Supervising Pharmacist and has the following contact phone number (716) 731-3500.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy027337NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13349443OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
22728921MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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