National Provider Identifier
Kevin D. Reilly
Kevin D. Reilly is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 467-4422.
Profile Overview
- NPI
- 1538342373
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 16, 2007
- Last Updated
- December 16, 2007
Practice Location
- 1792 N Goodman St
- Rochester, NY 14609-1036
Phone: (585) 467-4422
Mailing Address
- 93 Broadmoor Trl
- PO Box 231
- Fairport, NY 14450-9386
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1538342373
- Entity Type
- Individual
- Last Name
- Reilly
- First Name
- Kevin
- Middle Name
- D.
- Name Prefix
- Mr.
- Mailing Street Address
- 93 Broadmoor Trl
- Mailing Address Line 2
- PO Box 231
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9386
- Mailing Country
- US
- Mailing Phone
- (585) 388-0931
- Mailing Fax
- (585) 425-2327
- Practice Street Address
- 1792 N Goodman St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-1036
- Practice Country
- US
- Practice Phone
- (585) 467-4422
- Practice Fax
- (585) 266-3057
- Enumeration Date
- December 16, 2007
- Last Updated
- December 16, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 00446846 (NY)