Dean Salyer, R.PH.
Individual provider Active NPI Pharmacist · Fillmore, NY
NPI 1326219072 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1326219072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 036977 (NY)
- Practice address
- 10560 Route 19
Fillmore, NY 14735-0272 - Phone
- (585) 567-2228
- NPI assigned
- Mar 20, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 036977 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036977 | NY | Yes |
Addresses
Primary practice location
10560 Route 19
Fillmore, NY 14735-0272
Mailing address
10560 Route 19
Fillmore, NY 14735-0272
Phone (585) 567-2228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01295014 | Medicaid | NY |
Other providers in Fillmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. 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.