Kaveh Rafiei, PHARM.D
Individual provider Active NPI Pharmacist · Shirley, NY
NPI 1235012113 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1235012113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 072701 (NY)
- Practice address
- 964 Montauk Hwy
Shirley, NY 11967-2119 - Phone
- (631) 281-2052
- NPI assigned
- Jul 29, 2025
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072701 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past |
Accepting new patients | |
| CVS Albany LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 072701 | NY | Yes |
Addresses
Primary practice location
964 Montauk Hwy
Shirley, NY 11967-2119
Mailing address
9 Raynham Dr
Syosset, NY 11791-3909
Phone (516) 653-8244
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. 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.