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SPRINGCREEK PHARMACY NPI 1063504215


NPI Information

NPI: 1063504215
Provider Name: SPRINGCREEK PHARMACY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
227 W MAIN ST
SPRINGVILLE, NY
ZIP 14141
Phone: (716) 592-9065
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SPRINGCREEK PHARMACY is a durable medical equipment medical supplies in Springville, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SPRINGCREEK PHARMACY NPI is 1063504215. The provider is registered as an organization entity type.

The provider's business location address is:

227 W MAIN ST
SPRINGVILLE, NY
ZIP 14141-017
Phone: (716) 592-9065
Fax: (716) 592-9064

The provider's authorized official is David J Wiiliams .
The authorized official title is Owner/rph and has the following contact phone number (716) 592-9065.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 2/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies038947-1NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18210881OTHERNEW MEXICOIHA
201973968MEDICAIDNEW YORK
3005513171OTHERNEW YORKBCBS
400030176701OTHERNEW YORKUNIVERA
51281060001MEDICARE NSCNEW YORK
610178460OTHERNEW YORKFIDELIS

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: 4/28/2024

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