IndividualActive
Kevin Waite, PHARMD
NPI 1346609476 · Nutrition Support Pharmacist · Bohemia, NY
Provider details
- NPI number
- 1346609476
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 061399 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
140 Keyland Ct Unit 27
Bohemia, NY 11716-2655
Phone: (631) 750-9088
Approximate (ZIP-level) locationGet directions
Mailing address
140 Keyland Ct Unit 27
Bohemia, NY 11716-2655
Registry dates
- Enumerated
- 2016-02-17
- Last updated
- 2016-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.