Thomas Donahue Bobick, PHARM.D.
Individual provider Active NPI Pharmacist · Canton, NY
NPI 1972803401 · NPPES record last updated Nov 1, 2010
Key facts
- NPI
- 1972803401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 054784 (NY)
- Practice address
- 19 Miner St
Canton, NY 13617-1231 - Phone
- (315) 386-8611
- NPI assigned
- Nov 1, 2010
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054784 | NY | Yes |
Addresses
Primary practice location
19 Miner St
Canton, NY 13617-1231
Mailing address
19 Miner St
Canton, NY 13617-1231
Phone (315) 386-8611
Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2010. 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.