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IVYLEA PHARMACY
NPI 1144324104
Pharmacy - Community/Retail Pharmacy in Kenmore, NY

Active since September 12, 2006CLIA 33D2184420 · Waiver
2446 ELMWOOD AVE, KENMORE, NY 14217(716) 873-1444(716) 873-5496 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2017, Jun 23, 2016 (2 updates tracked since 2016).

About Ivylea Pharmacy NPPES

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

IVYLEA PHARMACY (NPI 1144324104) is a healthcare organization registered as a community/retail pharmacy in Kenmore, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Charles Barons, Supervising Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1144324104
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIVYLEA PHARMACY INC
Location Address2446 ELMWOOD AVEKenmore, NY 14217-2244
Mailing Address2446 Elmwood AveKenmore, NY 14217-2244 · (716) 873-1444 · Fax (716) 873-5496
Phone(716) 873-1444
Fax(716) 873-5496
Organization SubpartNo
Authorized OfficialCharles BaronsSupervising Pharmacist · (716) 873-1444
Enumeration DateSeptember 12, 2006
Last NPPES UpdateApril 17, 20172 updates tracked since enumeration
✔ NPI 1144324104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 028936
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
2446 ELMWOOD AVE, Kenmore, NY 14217
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Other Names 1

Doing Business AsIvylea Pharmacy

Other Identifiers 3

Medicaid03125197NY
Medicaid3125197NY
Other2059325Pk

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 33D2184420

Ivylea Pharmacy · Kenmore, NY
Active · expires Mar 26, 2027
CLIA Number33D2184420
Laboratory TypePharmacy
Certificate Effective DateMay 20, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Chester H. Fox
Laboratory Phone(716) 873-1444
Laboratory LocationIvylea Pharmacy2446 Elmwood Ave, Kenmore, NY 14217
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 4

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.
84 services84 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
69 services69 patients
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.
39 services39 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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Ivylea Pharmacy carries, from the Medicare DMEPOS supplier directory.

Ivylea Pharmacy

DMEPOS supplier · Kenmore, NYOperated by Ivylea Pharmacy, Inc.
⋮

Does not accept Medicare assignment

Ivylea Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20547539
Medicare Participant SinceDecember 10, 2009
Supplier Location2446 Elmwood AveKenmore, NY 14217
Phone(716) 873-1444
Supplier Specialties
Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Seat Lift Mechanisms
Lift chair
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. JAMES RUSSELL MARTIN PHARMD
Pharmacist
2446 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 873-1444
IVYLEA PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
2446 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 873-1444
DR. CHARLES PETER BARONE JR.
Pharmacist
2446 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 873-1444

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 Ivylea Pharmacy Inc's NPI number?

The NPI number for Ivylea Pharmacy Inc is 1144324104. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Ivylea Pharmacy.

Where is Ivylea Pharmacy Inc located?

Ivylea Pharmacy Inc is located at 2446 Elmwood Ave, Kenmore, NY 14217. The listed phone number is (716) 873-1444.

What is Ivylea Pharmacy Inc's specialty?

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

Does Ivylea Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Ivylea Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Ivylea Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2184420) 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 Ivylea Pharmacy Inc 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 48 other insurers list Ivylea 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 Ivylea Pharmacy Inc was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.