OLDE CANAL PHARMACY INC NPI 1811033426

NPI Details

OLDE CANAL PHARMACY INC is a long term care pharmacy pharmacy in West Henrietta, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. OLDE CANAL PHARMACY INC NPI is 1811033426. The provider is registered as an organization entity type.
The provider Is Doing Business As Millers Pharmacy.

The provider's business location address is:

201 SCOTTSVILLE W HENRIETTA RD
WEST HENRIETTA, NY
ZIP 14586-596
Phone: (585) 889-3510
Fax: (585) 334-5833

The provider's authorized official is Michael Welsch .
The authorized official title is President and has the following contact phone number (585) 889-3510.

The CLIA number assigned to this NPI record is 33D2210124 - pharmacy with a certificate type of Certificate of Waiver.

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)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 1/30/2007 and was last updated on 6/8/2016.

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:

Other Identifiers

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