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SUMMIT PARK PHARMACY INC
NPI 1063427656
Pharmacy in Niagara Falls, NY

Active since July 30, 2006
2578 NIAGARA FALLS BLVD, SUITE 100, NIAGARA FALLS, NY 14304(716) 297-7151(716) 297-7110 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Summit Park Pharmacy Inc NPPES

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

SUMMIT PARK PHARMACY INC (NPI 1063427656) is a healthcare organization registered as a pharmacy in Niagara Falls, New York and active in the NPI registry since July 2006. The organization lists Christopher Sauls, Supervising Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1063427656
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSUMMIT PARK PHARMACY INC
Location Address2578 NIAGARA FALLS BLVD, SUITE 100Niagara Falls, NY 14304-4681
Mailing Address2578 Niagara Falls Blvd, Suite 100Niagara Falls, NY 14304-4681 · (716) 297-7151 · Fax (716) 297-7110
Phone(716) 297-7151
Fax(716) 297-7110
Organization SubpartNo
Authorized OfficialChristopher SaulsSupervising Pharmacist · (716) 731-3500
Enumeration DateJuly 30, 2006
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1063427656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 027337
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2578 NIAGARA FALLS BLVD, Niagara Falls, NY 14304
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Other Identifiers 2

Other3349443Other Id Number-commercial Number
Medicaid2728921NY

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Park Pharmacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110623000492Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

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 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.
41 services41 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.
39 services39 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER ADAM SAULS RPH.
Pharmacist
2578 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Niagara County (716) 572-9746
SUMMIT PARK PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
2578 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Niagara County (716) 731-3500
JUSTIN SAUL TAYLOR PHARM D
Pharmacist
2578 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Niagara County (716) 731-3500

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 Summit Park Pharmacy Inc's NPI number?

The NPI number for Summit Park Pharmacy Inc is 1063427656. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Summit Park Pharmacy Inc located?

Summit Park Pharmacy Inc is located at 2578 Niagara Falls Blvd Suite 100, Niagara Falls, NY 14304. The listed phone number is (716) 297-7151.

What is Summit Park Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Summit Park Pharmacy Inc enrolled in Medicare?

Yes. Summit Park Pharmacy Inc is registered in the Medicare PECOS enrollment system.

When is Summit Park Pharmacy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Mass Immunization (Roster Biller Only)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Summit Park Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Summit Park Pharmacy Inc 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 Summit Park Pharmacy Inc was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.