UPSTATE PHARMACY LTD
NPI 1033221031
Pharmacy - Community/Retail Pharmacy in West Seneca, NY

Q: What is Upstate Pharmacy Ltd's NPI number?

The NPI number for Upstate Pharmacy Ltd is 1033221031. It was assigned to this organization in the NPPES registry on August 31, 2006.

Q: What is Upstate Pharmacy Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 31, 2006CLIA 33D2186054 · Waiver

1900 N AMERICA DR STE 100, STE 100, WEST SENECA, NY 14224(716) 675-3784(716) 675-7777 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Upstate Pharmacy Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTATE PHARMACY LTD (NPI 1033221031) is a healthcare organization registered as a community/retail pharmacy in West Seneca, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ted Kuznirrek, Vp, as its authorized official.

NPPES Registry Identity

NPI1033221031

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameUPSTATE PHARMACY LTD

Location Address1900 N AMERICA DR STE 100, STE 100West Seneca, NY 14224-2014

Mailing Address1900 North America Dr, Ste 100West Seneca, NY 14224-2014 · (716) 675-3784 · Fax (716) 675-7777

Phone(716) 675-3784

Fax(716) 675-7777

Organization SubpartNo

Authorized OfficialTed KuznirrekVp · (716) 675-3794

Enumeration DateAugust 31, 2006

Last NPPES UpdateMay 1, 2019

✔ NPI 1033221031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 023581 (NY)

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1900 N AMERICA DR STE 100, West Seneca, NY 14224

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Other Names 1

Doing Business AsUpstate Pharmacy Ltd

Other Identifiers 2

Other2062950Pk

Medicaid01820933NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2186054

Upstate Pharmacy Ltd · West Seneca, NY

Active · expires Mar 26, 2027

CLIA Number33D2186054

Laboratory TypePharmacy

Certificate Effective DateJune 12, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorMr. Thaddeus J. Kuzniarek

Laboratory Phone(716) 675-3784

Laboratory LocationUpstate Pharmacy Ltd1900 N America Dr, West Seneca, NY 14224

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

611 services539 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

474 services474 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

159 services159 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upstate Pharmacy Ltd's NPI number?

The NPI number for Upstate Pharmacy Ltd is 1033221031. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Upstate Pharmacy Ltd located?

Upstate Pharmacy Ltd is located at 1900 N America Dr Ste 100 Ste 100, West Seneca, NY 14224. The listed phone number is (716) 675-3784.

What is Upstate Pharmacy Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Upstate Pharmacy Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2186054) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upstate Pharmacy Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Upstate Pharmacy Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upstate Pharmacy Ltd was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.