5775 MAELOU DRIVE OPERATING COMPANY, LLC (NPI# 1184058083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184058083 |
| Entity Type | Organization |
| Organization Name | 5775 MAELOU DRIVE OPERATING COMPANY, LLC |
| Practice Address |
5775 Maelou Dr Hamburg NY 14075-7419 |
| Mailing Address |
641 Lexington Ave 31st Floor New York NY 10022-4503 |
| Practice Telephone | 7166482820 |
| Mailing Telephone | 2128027609 |
| Mailing Fax Number | 6469240520 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | MR. GREGORY HOOK (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2128027609 |
| Is Organization Subpart | Y |
| Parent Organization Name | 5775 MAELOU DRIVE OPERATING COMPANY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY BOARD OF PHARMACY REGISTRATION | 031934 | 01 |
| Street Address |
5775 MAELOU DR |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-7419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565550 | Lakewood Health Care Center Inc. | Skilled Nursing Facility | 5775 Maelou Dr, Hamburg, NY 14075-7419 | 2005-08-17 |
| 1184193864 | John Patrick Feldmann | Speech-Language Pathologist | 5775 Maelou Dr, Hamburg, NY 14075-7419 | 2018-11-25 |
| 1205109949 | 5775 Maelou Drive Operating Company LLC | Skilled Nursing Facility | 5775 Maelou Dr, Hamburg, NY 14075-7419 | 2012-02-10 |
| 1992716542 | Lakewood Health Care Cntr Pharmacy | Pharmacy | 5775 Maelou Dr, Hamburg, NY 14075-7419 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821537929 | Hamburg Pharmacy | Pharmacy | 302 S Main St, Hamburg, AR 71646-3230 | 2017-02-22 |
| 1992716542 | Lakewood Health Care Cntr Pharmacy | Pharmacy | 5775 Maelou Dr, Hamburg, NY 14075-7419 | 2006-08-10 |
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| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.