JERICHO ROAD MINISTRIES, INC.


Address: 1021 Broadway Street, Buffalo, NY 14212-1460
Phone: 7165293029

JERICHO ROAD MINISTRIES, INC. (NPI# 1548825482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548825482
Entity Type Organization
Organization Name JERICHO ROAD MINISTRIES, INC.
Other Organization Name JRCHC PHARMACY @ BROADWAY
Practice Address 1021 Broadway Street
Buffalo
NY 14212-1460
Mailing Address 184 Barton St
Buffalo
NY 14213-1573
Practice Telephone 7165293029
Mailing Telephone 7163483000
Mailing Fax Number 7163483010
Enumeration Date 2019-05-07
Last Update Date 2019-06-21
Authorized Official Name JACKIE ENDRESS (CREDENTIALING SPECIALIST)
Authorized Official Telephone 7163483000
Is Organization Subpart Y
Parent Organization Name JERICHO ROAD MINISTRIES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
JRCHC PHARMACY @ BROADWAY Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619307022 Jericho Road Ministries, Inc. Clinic/Center 1609 Genesee St, Buffalo, NY 14211-1616 2013-11-21
1205474681 Jericho Road Ministries, Inc. Clinic/Center 100 E Tupper St, Buffalo, NY 14203-1315 2019-12-16
1952893091 Jericho Road Ministries, Inc. Clinic/Center 1021 Broadway St, Buffalo, NY 14212-1460 2018-06-05

Office Location

Street Address 1021 BROADWAY STREET
City BUFFALO
State NY
Zip Code 14212-1460

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508349283 Lj Transportation Service Taxi 123 Sobieski St, Buffalo, NY 14212 2018-09-10
1598157463 Safiya Haamid Registered Nurse 135 Loepere St, Buffalo, NY 14212 2015-03-02
1124345426 Matthew Michael Peunil Jr. Pharmacist 975 Broadway, Buffalo, NY 14212 2010-04-26
1265404982 Christopher Schaeffer Internal Medicine 1021 Broadway St, Buffalo, NY 14212 2006-02-06
1639697279 Sara Kathleen Lis Counselor 1131 Broadway St, Buffalo, NY 14212 2017-09-05
1770022212 Jeremy Michael Tomaino Counselor 1131 Broadway Ave, Buffalo, NY 14212 2017-02-16
1689033441 Latajana Hall Counselor 1131 Broadway Ave, Buffalo, NY 14212 2016-02-22
1336549831 James Maska Physical Therapist 1021 Broadway St, Buffalo, NY 14212 2014-09-03
1871934398 Mark John Harrigan Registered Nurse 1384 Broadway, Buffalo, NY 14212 2013-07-12
1740542299 Xika Zhao Registered Nurse 1500 Broadway, Buffalo, NY 14212 2012-06-11
Find all providers in zip 14212

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881235273 Bison Rx Inc. Pharmacy 20442 Charleston Rd, Buffalo, WV 25033 2019-10-07
1710535216 Spamony20 LLC Pharmacy 150 E Hart St, Buffalo, WY 82834-1705 2019-08-28
1548646318 Vascuscript Pharmacy 644 Ellicott St Ste 104, Mobile Pharmacy Solutions, Buffalo, NY 14203-1221 2015-08-04
1588947709 Walgreen Co Pharmacy 1002 Highway 25 N, Buffalo, MN 55313-1920 2011-09-23
1346439924 Seneca Pharmacy of Wny Inc Pharmacy 1979 Seneca St, Buffalo, NY 14210-2352 2007-10-18
1326111642 Family Pharmaceutical Services, LLC Pharmacy 1001 Main St Fl 2, Buffalo, NY 14203-1009 2006-11-16
1730264946 Parkside Pharmacy Inc Pharmacy 975 Broadway St, Buffalo, NY 14212-1317 2006-10-26
1174617658 Allscript Pharmacy,inc. Pharmacy 173 High Street, Buffalo, NY 14204 2006-10-02
1720187073 Eckerd Corporation Pharmacy 202 W Utica St, Buffalo, NY 14222-2020 2006-09-22
1992803530 Cvs Albany LLC Pharmacy 1625 Elmwood Ave Spectrum Bldg, Buffalo, NY 14207 2006-09-20
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Competitor

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City BUFFALO
Zip Code 14212

Improve Information

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Dataset Information

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.

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