MR. KEVIN JOHN WAITE JR. (NPI# 1346609476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346609476 |
| Entity Type | Individual |
| Full Name | MR. KEVIN JOHN WAITE JR. |
| Credential | PHARMD |
| Practice Address |
140 Keyland Ct Unit 27 Bohemia NY 11716-2655 |
| Practice Telephone | 6317509088 |
| Mailing Telephone | 6317509088 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
061399 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246890 | Kevin Michael Waite | Social Worker | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-10-23 |
| 1407052806 | Kevin M Waite | Counselor | 107 S Division St, Spokane, WA 99202 | 2007-06-22 |
| Street Address |
140 KEYLAND CT UNIT 27 |
| City | BOHEMIA |
| State | NY |
| Zip Code | 11716-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265723555 | Anthony Frank Buscaino | Pharmacist | 140 Keyland Ct Unit 27, Bohemia, NY 11716-2655 | 2011-04-21 |
| 1003297854 | Mds Capital LLC | Durable Medical Equipment & Medical Supplies | 140 Keyland Ct Unit 27, Bohemia, NY 11716-2655 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774631 | Laura M Goldschrafe | Midwife | 4875 Sunrise Hwy Ste 200, Bohemia, NY 11716 | 2017-11-28 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1255717252 | Lynne G Slovin | Social Worker | 700 Lakeland Avenue, Ste. 1c, Bohemia, NY 11716 | 2015-08-03 |
| 1194164855 | Michelle Lynn Salz | Midwife | 4875 Sunrise Highway, Bohemia, NY 11716 | 2013-06-17 |
| 1700222411 | Caring Hands | Home Health | 21 Carolyn Ct, Bohemia, NY 11716 | 2013-05-21 |
| 1619210069 | Michael Roche | Counselor | 1650 Syamore Ave, Suite 39, Bohemia, NY 11716 | 2013-04-04 |
| 1063727949 | Diane Alana Dicarlo | Acupuncturist | 638 Ocean Avenue, Bohemia, NY 11716 | 2010-08-16 |
| 1467786632 | Elaina Andersen | Occupational Therapist | 907 Sycamore Avenue, Bohemia, NY 11716 | 2009-09-22 |
| 1356518484 | Kenneth John Grau | Speech-Language Pathologist | 45 Crossways East Rd, Saul &elainne Seiff Educare Center, Bohemia, NY 11716 | 2008-05-08 |
| 1790907574 | Thomas J Riviello | Counselor | 600 Johnson Avenue, Bohemia, NY 11716 | 2007-05-02 |
| Find all providers in zip 11716 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265723555 | Anthony Frank Buscaino | Pharmacist | 140 Keyland Ct Unit 27, Bohemia, NY 11716-2655 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952624280 | Wai Loi Lau | Pharmacist | 440 E 138th St, #3/4, Bronx, NY 10454-3026 | 2010-03-01 |
| 1801962287 | Life Science Pharmacy Inc. | Pharmacist | 144 Route 17m, Harriman, NY 10926-3329 | 2006-11-28 |
| 1114915774 | Brittany Pharmacy Corp. | Pharmacist | 395 Avenue X, Brooklyn, NY 11223-6004 | 2005-10-07 |
| 1346238995 | Best Rx Pharmacy, Inc. | Pharmacist | 1324 Sheepshead Bay Rd, Brooklyn, NY 11235-3920 | 2005-10-07 |
| 1003187626 | Evangelia Davanos | Pharmacist | 121 Dekalb Ave, B231, Brooklyn, NY 11201-5425 | 2012-01-13 |
| 1821396334 | Vladmir Elie | Pharmacist | 2036 Bedford Ave, Brooklyn, NY 11226-1905 | 2011-03-08 |
| 1265660450 | Khurshid Ahmed | Pharmacist | 48 W Fordham Rd, Bronx, NY 10468-5323 | 2009-06-25 |
| 1558408666 | Chandrakant L Trivedi | Pharmacist | 48 Lowell Ave, Islip Terrace, NY 11752-1415 | 2007-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.