Jack Caloras, RPH
Individual provider Active NPI Geriatric Pharmacist · Montebello, NY
NPI 1376875401 · NPPES record last updated Jan 29, 2010
Key facts
- NPI
- 1376875401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- 0033978 (NY)
- Practice address
- 14 Mills Rd
Montebello, NY 10901-3747 - Phone
- (845) 369-3621
- NPI assigned
- Jan 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 28RI01671000 | NJ | MD | Geriatric Pharmacist |
| 0033978 | NY | MD | Geriatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 0033978 | NY | Yes |
| Geriatric Pharmacist | 1835G0303X | 28RI01671000 | NJ |
Addresses
Primary practice location
14 Mills Rd
Montebello, NY 10901-3747
Mailing address
14 Mills Rd
Montebello, NY 10901-3747
Phone (845) 369-3621
Other providers in Montebello, NY
- Access Health Chiropractic P.C.
- Ashley Aspinall
- Liana Bekker
- Shari Lynn Bernstein
- Stephen W Buckley
- Careworks ABA LLC
- Chess Medicine PLLC
- Leora Delouya
- Loren Faith Edelson
- Effective HSG LLC
All providers in Montebello, NY · Geriatric Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 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.