Sara Elizabeth Bobkin, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Northport, NY

NPI 1700955937 · NPPES record last updated Nov 8, 2011

Key facts

NPI
1700955937
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
051112 (NY)
Practice address
79 Middleville Rd
Northport, NY 11768-2200
Phone
(631) 266-4400
NPI assigned
Nov 6, 2006
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051112 NY Yes
Pharmacist 183500000X 051112 NY

Addresses

Primary practice location

79 Middleville Rd
Northport, NY 11768-2200

Mailing address

79 Middleville Rd
Northport, NY 11768-2200

Other providers in Northport, NY

All providers in Northport, NY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

Sources for this page

Verify at the official NPI Registry.