Olivia Bala, RPH.
Individual provider Active NPI Pharmacist · Tarrytown, NY
NPI 1487056735 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1487056735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 059659 (NY)
- Practice address
- 162 Wildey St
Tarrytown, NY 10591-4201 - Phone
- (914) 332-0567
- Fax
- (914) 332-0638
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- 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 |
|---|---|---|---|
| 059659 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059659 | NY | Yes |
Addresses
Primary practice location
162 Wildey St
Tarrytown, NY 10591-4201
Mailing address
162 Wildey St
Tarrytown, NY 10591-2910
Phone (914) 332-0567
Other names
- Olivia D'Cunha
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. 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.