Healthcare Provider Details
I. General information
NPI: 1689071664
Provider Name (Legal Business Name): PARKVIEW HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2014
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3920 MAIN ST STE 100
AMHERST NY
14226-3350
US
IV. Provider business mailing address
3920 MAIN ST STE 100
AMHERST NY
14226-3350
US
V. Phone/Fax
- Phone: 716-876-2323
- Fax: 716-876-1349
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PAUL
O'LEARY
Title or Position: CEO
Credential:
Phone: 716-876-4092