PENDLETON STAR PHARMACY INC. NPI 1548692262

NPI Details

PENDLETON STAR PHARMACY, INC. is a pharmacy in Lockport, 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. PENDLETON STAR PHARMACY, INC. NPI is 1548692262. The provider is registered as an organization entity type.

The provider's business location address is:

6503 CAMPBELL BLVD
LOCKPORT, NY
ZIP 14094-210
Phone: (716) 210-3152

The provider's authorized official is Judy Izard .
The authorized official title is Owner/supervisor and has the following contact phone number (716) 210-3152.

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.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 8/5/2013 and was last updated on 1/25/2014.

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: