Healthcare Provider Details

I. General information

NPI: 1306738463
Provider Name (Legal Business Name): PATIENTS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 FAIRMOUNT AVE STE 6
JAMESTOWN NY
14701-2623
US

IV. Provider business mailing address

PO BOX 170
JAMESTOWN NY
14702-0170
US

V. Phone/Fax

Practice location:
  • Phone: 716-483-6913
  • Fax: 716-483-2554
Mailing address:
  • Phone: 716-483-6913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DIANE R. MATHEWS
Title or Position: PRESIDENT
Credential:
Phone: 716-483-6913