OrganizationActive
Ellicottville Pharmacy Inc
NPI 1235211020 · Community/Retail Pharmacy · Salamanca, NY
Ellicottville Pharmacy Inc is a Community/Retail Pharmacy organization in Salamanca, NY (NPI 1235211020).
Provider details
- NPI number
- 1235211020
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Peter Illig, Supervising Rph Sect Treas(716) 945-2140
- License
- 019257 (NY)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
445 Broad St
Salamanca, NY 14779-1424
Phone: (716) 945-2140
Fax: (716) 945-0857
Street-level locationGet directions
Mailing address
445 Broad St
Salamanca, NY 14779-1424
Other names (DBA / former)
- Doing business as
- Park Pharmacy
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2025-09-11
Frequently asked questions
- What is Ellicottville Pharmacy Inc's NPI number?
- Ellicottville Pharmacy Inc's National Provider Identifier (NPI) is 1235211020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellicottville Pharmacy Inc?
- Ellicottville Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Ellicottville Pharmacy Inc located?
- Ellicottville Pharmacy Inc's practice location on file with NPPES is 445 Broad St, Salamanca, NY 14779-1424.
- What is Ellicottville Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Ellicottville Pharmacy Inc is (716) 945-2140.
- Who is the authorized official for Ellicottville Pharmacy Inc?
- The authorized official listed on Ellicottville Pharmacy Inc's NPPES record is Peter Illig, Supervising Rph Sect Treas. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellicottville Pharmacy Inc's NPI active?
- Yes — Ellicottville Pharmacy Inc's NPI (1235211020) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.