Dale Hugh Austin, R.PH.
Individual provider Active NPI Pharmacist · Canandaigua, NY
NPI 1407032907 · NPPES record last updated Jan 14, 2008
Key facts
- NPI
- 1407032907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 026094 (NY)
- Practice address
- 91 Eastern Blvd
Canandaigua, NY 14424-2220 - Phone
- (585) 394-2987
- Fax
- (585) 394-1952
- NPI assigned
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 026094 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 026094 | NY | Yes |
Addresses
Primary practice location
91 Eastern Blvd
Canandaigua, NY 14424-2220
Mailing address
4329 Angela Way
Canandaigua, NY 14424-9660
Phone (585) 394-7911
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 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.