David S Calabria, R.PH
Individual provider Active NPI Pharmacist · Cicero, NY
NPI 1710201140 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1710201140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 046279 (NY)
- Practice address
- 8150 Thompson Rd
Cicero, NY 13039-9480 - Phone
- (315) 699-0340
- NPI assigned
- Mar 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| 046279 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past |
Accepting new patients | |
| KPH Healthcare Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046279 | NY | Yes |
Addresses
Primary practice location
8150 Thompson Rd
Cicero, NY 13039-9480
Mailing address
8150 Thompson Rd
Cicero, NY 13039-9480
Phone (315) 699-0340
Other practice location 1
437 Electronics Pkwy
Liverpool, NY 13088-6001
Phone (315) 453-1750
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 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.