MEDICARE: 716 PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1396689428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	716 PHARMACY INC

Provider Business Mailing Address
First Line	:	1807 KENMORE AVE.
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 KENMORE AVE.
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14217
Country	:	US
Telephone Number	:	716-240-9476
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAJVEER DHALIWALL
Credential	:
Telephone Number	:	716-622-3002

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “716 PHARMACY INC ” Practice Location

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