Provider Demographics
NPI:1366245151
Name:SHAPCOTT, KYLE WESTON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:WESTON
Last Name:SHAPCOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 N FOREST RD APT 211
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1071
Mailing Address - Country:US
Mailing Address - Phone:712-890-9010
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY AT BUFFALO SPPS
Practice Address - Street 2:285 PHARMACY BUILDING
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:712-890-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20-104318183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist