{"npi":"1851663876","type":"NPI-2","status":"active","name":{"display":"Newfane Pharmacy Inc.","other":[],"organization_name":"NEWFANE PHARMACY INC.","authorised_official":"Cyrus Ardalan"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NY","license":"031310"}]},"addresses":[{"purpose":"LOCATION","street_1":"2780 MAIN ST","city":"NEWFANE","state":"NY","postal_code":"141081237","country_code":"US","phone":"7167780600","fax":"7167780601"},{"purpose":"MAILING","street_1":"2780 MAIN STREET","city":"NEWFANE","state":"NY","postal_code":"14108","country_code":"US","phone":"7167780600","fax":"7167780601"}],"license":{"state":"NY","number":"031310"},"identifiers":[{"type_code":"01","label":"Other","value":"2134524","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"04170870","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130222000338","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"5395990378"},{"enrlmt_id":"O20210108000773","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NY","pac_id":"5395990378"}]},"enumeration_date":"2012-02-07","last_updated":"2025-09-19","_meta":{"source":"NPPES","snapshot_date":"2025-09-19","doc_url":"https://findmynpi.com/api"}}