Ivylea Pharmacy Inc
Community/Retail Pharmacy
2446 Elmwood Ave, Kenmore
New York, 14217-2244
716-873-1444 716-873-5496
Ivylea Pharmacy Inc is a Community/Retail Pharmacy in Kenmore, New York. It is located at 2446 Elmwood Ave, Kenmore and it's customer support contact number is 716-873-1444. The authorized person of Ivylea Pharmacy Inc is Charles Barons, DOCTOR OF PHARM who is Supervising Pharmacist of the pharmacy and his contact number is 716-873-1444. Active license number of Ivylea Pharmacy Inc is 028936 for Community/Retail Pharmacy in New York. Ivylea Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ivylea Pharmacy Inc is 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.
Pharmacy Details:
Ivylea Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Ivylea Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 2446 Elmwood Ave, Kenmore,
New York, 14217-2244 |
| Phone: | 716-873-1444 |
| Fax: | 716-873-5496 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Charles Barons |
| Credentials: | DOCTOR OF PHARM |
| Position: | Supervising Pharmacist |
| Contact Number: | 716-873-1444 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1144324104 |
| NPI Enumeration Date: | 12 Sep, 2006 |
| NPI Last Update On: | 17 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivylea Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 028936 | New York | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3125197 | Medicaid | New York | |
| 03125197 | Medicaid | New York | |
| 2059325 | Other | | Pk |
Medicare Enrollment:
Ivylea Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8224228267 | O20100930045227 | Ivylea Pharmacy, Inc. | DME SUPPLIER - PHARMACY |
| 8224228267 | O20161025001685 | Ivylea Pharmacy, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Ivylea Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Seat Lift Mechanisms |
| • Urological Supplies | • Walkers |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2446 Elmwood Ave,
Kenmore, New York |
| Zip: | 14217-2244 |
| Phone Number: | 716-873-1444 |
| Fax Number: | 716-873-5496 |
Patients can reach Ivylea Pharmacy Inc at
2446 Elmwood Ave, Kenmore, New York or can
call on customer care at 716-873-1444.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.