Healthcare Provider Details

I. General information

NPI: 1831114016
Provider Name (Legal Business Name): CHRISTOPHER DAVID HAMP RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 AMHERST ST
BUFFALO NY
14207-2901
US

IV. Provider business mailing address

13 TRANQUILITY TRL
LANCASTER NY
14086-1525
US

V. Phone/Fax

Practice location:
  • Phone: 716-877-1472
  • Fax: 716-877-2331
Mailing address:
  • Phone: 716-531-6101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number047549
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH26915
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46014
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: