National Provider Identifier
Maxwell Ilnickis, PHARMD
Maxwell Ilnickis, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (347) 481-2242.
Profile Overview
- NPI
- 1952188310
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- September 11, 2023
- Last Updated
- December 08, 2024
Practice Location
- 1717 Sheridan Dr
- Buffalo, NY 14223-1209
Phone: (347) 481-2242
Mailing Address
- 231 Affinity Ln Apt E
- Buffalo, NY 14215-2534
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1952188310
- Entity Type
- Individual
- Last Name
- Ilnickis
- First Name
- Maxwell
- Credential
- PHARMD
- Mailing Street Address
- 231 Affinity Ln Apt E
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2534
- Mailing Country
- US
- Mailing Phone
- (347) 481-2242
- Practice Street Address
- 1717 Sheridan Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-1209
- Practice Country
- US
- Practice Phone
- (347) 481-2242
- Enumeration Date
- September 11, 2023
- Last Updated
- December 08, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)