Provider Demographics
| NPI: | 1689071664 |
|---|---|
| Name: | PARKVIEW HEALTH SERVICES, LLC |
| Entity type: | Organization |
| Organization Name: | PARKVIEW HEALTH SERVICES, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | PAUL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | O'LEARY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 716-876-4092 |
| Mailing Address - Street 1: | 3920 MAIN ST STE 100 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | AMHERST |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 14226-3350 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 3920 MAIN ST STE 100 |
| Practice Address - Street 2: | |
| Practice Address - City: | AMHERST |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 14226-3350 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 716-876-2323 |
| Practice Address - Fax: | 716-876-1349 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-11-19 |
| Last Update Date: | 2023-06-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 3336L0003X | Suppliers | Pharmacy | Long Term Care Pharmacy |
| No | 3336S0011X | Suppliers | Pharmacy | Specialty Pharmacy |
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |