Healthcare Provider Details

I. General information

NPI: 1609980416
Provider Name (Legal Business Name): PHARMACY OPERATIONS OF NEW YORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 PINE AVE
NIAGARA FALLS NY
14301-2234
US

IV. Provider business mailing address

1806 PINE AVE
NIAGARA FALLS NY
14301-2234
US

V. Phone/Fax

Practice location:
  • Phone: 716-282-1112
  • Fax: 716-282-0654
Mailing address:
  • Phone: 716-282-1112
  • Fax: 716-282-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number028440
License Number StateNY

VIII. Authorized Official

Name: DENA FERMAN
Title or Position: THIRD PARTY PLAN COORDINATOR
Credential:
Phone: 314-993-6000