Alex William Cobb
Individual provider Active NPI Pharmacy Technician · Newark, NY
NPI 1760170179 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1760170179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 30228011 (NY)
- Practice address
- 101 S Main St
Newark, NY 14513-1418 - Phone
- (315) 331-2187
- Fax
- (315) 331-3104
- NPI assigned
- Apr 25, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30228011 | NY | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30228011 | NY | Yes |
Addresses
Primary practice location
101 S Main St
Newark, NY 14513-1418
Mailing address
101 S Main St
Newark, NY 14513-1418
Phone (315) 331-2187
Other providers in Newark, NY
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- Daniel James Clark
- Candice J Clement
- Kent C Coil
- Katharine B Coleman
- Deirdre Colgan
- Donna Joy Collins I
- Kathleen M Collins
All providers in Newark, NY · Pharmacy Technician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 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.