Active NPI
David Nevin, R.PH.
- Pharmacist
- Cato, NY
National Provider Identifier
1326270091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049221
- Practice address
- 2949 State Route 370
Cato, NY 13033 - Phone
- (315) 626-3161
- Fax
- (315) 626-9919
- NPI assigned
- Aug 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 049221 | NY | Primary |
Addresses
Primary practice location
2949 State Route 370
Cato, NY 13033
Mailing address
2949 State Route 370
Cato, NY 13033-9778
Phone (315) 626-3161
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02550094 | Medicaid | NY | |
| 049221 | Other | NY | NEW YORK STATE PHARMACIST LICENSE |
| 9107084 | Other | BOARD OF PHARMACY SPECIALTIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049221 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Pharmacy of Utica LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Syracuse, NY
- NPI 1669755666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1326270091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2949 STATE ROUTE 370",
"city": "CATO",
"state": "NY",
"postal_code": "130339778",
"telephone_number": "315-626-3161",
"fax_number": "315-626-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2949 STATE ROUTE 370",
"city": "CATO",
"state": "NY",
"postal_code": "13033",
"telephone_number": "315-626-3161",
"fax_number": "315-626-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVIN",
"first_name": "DAVID",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02550094",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE PHARMACIST LICENSE",
"identifier": "049221",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY SPECIALTIES",
"identifier": "9107084",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cato, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.