Bladen Seth Yeager
Individual provider Active NPI Pharmacist · Honeoye, NY
NPI 1881401065 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1881401065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 072322 (NY)
- Practice address
- 15 Honeoye CMNS
Honeoye, NY 14471-8809 - Phone
- (585) 229-2285
- NPI assigned
- Dec 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past |
Accepting new patients | |
| CVS Albany, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 072322 | NY | Yes |
Addresses
Primary practice location
15 Honeoye CMNS
Honeoye, NY 14471-8809
Mailing address
208 Vermont St Apt 1
Buffalo, NY 14213-3506
Phone (814) 203-8016
Other providers in Honeoye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. 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.