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BLACK ROCK PHARMACY INC
NPI 1457917544
Pharmacy - Long Term Care Pharmacy in Buffalo, NY

Active since May 14, 2019CLIA 33D2184223 · Waiver
431 TONAWANDA ST, BUFFALO, NY 14207(716) 876-3070(716) 876-7464 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Rock Pharmacy Inc NPPES

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

BLACK ROCK PHARMACY INC (NPI 1457917544), doing business as Black Rock Pharmacy, is a healthcare organization registered as a long term care pharmacy in Buffalo, New York and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Bradley John Arthur, Owner, as its authorized official.

NPPES Registry Identity

NPI1457917544
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBLACK ROCK PHARMACY INC
Location Address431 TONAWANDA STBuffalo, NY 14207-2625
Mailing Address431 Tonawanda StBuffalo, NY 14207-2625 · (716) 876-3070 · Fax (716) 876-7464
Phone(716) 876-3070
Fax(716) 876-7464
Organization SubpartNo
Authorized OfficialBradley John ArthurOwner · (716) 876-3070
Enumeration DateMay 14, 2019
✔ NPI 1457917544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
431 TONAWANDA ST, Buffalo, NY 14207
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Other Names 1

Doing Business AsBlack Rock Pharmacy

Other Identifiers 1

Medicaid00591864NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 33D2184223

Black Rock Pharmacy Inc · Buffalo, NY
Active · expires Mar 26, 2027
CLIA Number33D2184223
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Chester H. Fox
Laboratory Phone(716) 876-3070
Laboratory LocationBlack Rock Pharmacy Inc431 Tonawanda St, Buffalo, NY 14207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. BRADLEY JOHN ARTHUR RPH
Pharmacist
431 TONAWANDA ST
BUFFALO, NY 14207
Erie County (716) 876-3070
BLACK ROCK PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
431 TONAWANDA ST
BUFFALO, NY 14207
Erie County (716) 876-3070
MICHAEL A MANUSZEWSKI RPH
Pharmacist
431 TONAWANDA ST
BUFFALO, NY 14207
Erie County (716) 876-3070

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 Black Rock Pharmacy Inc's NPI number?

The NPI number for Black Rock Pharmacy Inc is 1457917544. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Black Rock Pharmacy.

Where is Black Rock Pharmacy Inc located?

Black Rock Pharmacy Inc is located at 431 Tonawanda St, Buffalo, NY 14207. The listed phone number is (716) 876-3070.

What is Black Rock Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Black Rock Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2184223) 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 Black Rock Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Black Rock 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 Black Rock Pharmacy Inc was last updated on May 14, 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.