National Provider Identifier

Calvin Kennedy

Calvin Kennedy is listed in the NPPES registry with a primary specialty of Pharmacist in Elmira, NY and a listed phone number of (607) 733-6262.

NPI 1740945377Elmira, NYPharmacist

Profile Overview

NPI
1740945377
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 08, 2021
Last Updated
November 08, 2021

Practice Location

  • 1000 Pennsylvania Ave
  • Elmira, NY 14904-2609

Phone: (607) 733-6262

Mailing Address

  • 79 Erwin St
  • Painted Post, NY 14870-9710

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1740945377
Entity Type
Individual
Last Name
Kennedy
First Name
Calvin
Mailing Street Address
79 Erwin St
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870-9710
Mailing Country
US
Practice Street Address
1000 Pennsylvania Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-2609
Practice Country
US
Practice Phone
(607) 733-6262
Enumeration Date
November 08, 2021
Last Updated
November 08, 2021
Sex
Male
Sole Proprietor
No
Certification Date
November 08, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
1446921 (Nabp E-Profile Id), 068555 (NY, Pharmacist License)