ROSWELL PARK CANCER INSTITUTE NPI 1871379586

NPI Information

  • NPI: 1871379586
  • Provider Name: ROSWELL PARK CANCER INSTITUTE
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 203 PARK CLUB LANE
    SUITE Z-200
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 845-8936

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NPI Details

ROSWELL PARK CANCER INSTITUTE is a pharmacy in Williamsville, 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. ROSWELL PARK CANCER INSTITUTE NPI is 1871379586. The provider is registered as an organization entity type.

The provider's business location address is:

203 PARK CLUB LANE
SUITE Z-200
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 845-8936

The provider's authorized official is Candace Johnson .
The authorized official title is President And Ceo and has the following contact phone number (716) 845-5772.

The enumeration date for this NPI number is 9/7/2023 and was last updated on 9/7/2023.

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
1333600000XPharmacyYes

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
100354518MEDICAIDNEW 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

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