Todd Eric Eklum, RPH
Individual provider Active NPI Pharmacist · South Dayton, NY
NPI 1033433412 · NPPES record last updated Mar 15, 2010
Key facts
- NPI
- 1033433412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 039992 (NY)
- Practice address
- 303 Pine Street
South Dayton, NY 14138-0290 - Phone
- (716) 988-3410
- Fax
- (716) 988-3720
- NPI assigned
- Mar 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039992 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chautauqua Center, Inc | Past | Accepting new patients | |
| The Chautauqua Center, Inc. | Pharmacist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 039992 | NY | Yes |
Addresses
Primary practice location
303 Pine Street
South Dayton, NY 14138-0290
Mailing address
303 Pine Street
South Dayton, NY 14138-0290
Phone (716) 988-3410
Other providers in South Dayton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.