Healthcare Provider Details

I. General information

NPI: 1619893567
Provider Name (Legal Business Name): ASHLEY LYNN BECCARI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 CREEK ROAD EXT
LEWISTON NY
14092-1846
US

IV. Provider business mailing address

4915 CREEK ROAD EXT
LEWISTON NY
14092-1846
US

V. Phone/Fax

Practice location:
  • Phone: 716-697-9269
  • Fax:
Mailing address:
  • Phone: 716-697-9269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number068441
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: