National Provider Identifier
Kenzie M Overacker, PHARMD
Kenzie M Overacker, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Elmira, NY and a listed phone number of (607) 733-6696.
Profile Overview
- NPI
- 1164777967
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 17, 2012
- Last Updated
- November 11, 2020
Practice Location
- 130 S Main St
- Elmira, NY 14904-1309
Phone: (607) 733-6696
Mailing Address
- 11 Loredon Dr
- Millport, NY 14864-9708
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1164777967
- Entity Type
- Individual
- Last Name
- Overacker
- First Name
- Kenzie
- Middle Name
- M
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 11 Loredon Dr
- Mailing City
- Millport
- Mailing State
- NY
- Mailing ZIP Code
- 14864-9708
- Mailing Country
- US
- Mailing Phone
- (607) 738-3362
- Practice Street Address
- 130 S Main St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-1309
- Practice Country
- US
- Practice Phone
- (607) 733-6696
- Enumeration Date
- July 17, 2012
- Last Updated
- November 11, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 11, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)