John M Carl, RPH
Individual provider Active NPI Pharmacist · Holley, NY
NPI 1194886473 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194886473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 032166 (NY)
- Practice address
- 3 Geddes Street Ext
Holley, NY 14470-1122 - Phone
- (585) 638-5499
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cdsrx, LLC | Past |
Accepting new patients | |
| Cdsrx, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032166 | NY | Yes |
Addresses
Primary practice location
3 Geddes Street Ext
Holley, NY 14470-1122
Mailing address
15 Pinnard St
Rochester, NY 14610-2836
Phone (585) 473-0207
Other providers in Holley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.