Provider Demographics
NPI:1821115551
Name:CARE CENTER INC.
Entity Type:Organization
Organization Name:CARE CENTER INC.
Other - Org Name:WESTFIELD APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEOPRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-366-1616
Mailing Address - Street 1:53 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14787-1303
Mailing Address - Country:US
Mailing Address - Phone:716-326-3784
Mailing Address - Fax:716-326-4002
Practice Address - Street 1:53 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NY
Practice Address - Zip Code:14787-1303
Practice Address - Country:US
Practice Address - Phone:716-326-3784
Practice Address - Fax:716-326-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0282853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY028285OtherPHARMACY LICENSE
NY3353834OtherNCPDP
NY02903157Medicaid
NY0315160002Medicare NSC