Kevin McCloy, PHARM.D.

Individual provider Active NPI Pharmacist · West Trenton, NJ

NPI 1497801641 · NPPES record last updated Oct 18, 2007

Key facts

NPI
1497801641
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI02942800 (NJ)
Practice address
210 Silvia St
West Trenton, NJ 08628-3242
Phone
(609) 538-0700
NPI assigned
Jan 27, 2007
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI02942800NJMDPharmacist
RP439800PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02942800 NJ Yes
Pharmacist 183500000X RP439800 PA

Addresses

Primary practice location

210 Silvia St
West Trenton, NJ 08628-3242

Mailing address

210 Silvia St
Pharmacy Services
West Trenton, NJ 08628-3242

Other providers in West Trenton, NJ

All providers in West Trenton, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.