IndividualActive
Isaac Provo, RPH
NPI 1639340169 · Pharmacist · Newark, NY
Isaac Provo, RPH is a Pharmacist provider in Newark, NY (NPI 1639340169).
Provider details
- NPI number
- 1639340169
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 030985 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Miller and Finch Streets
Attn Pharmacy Manager
Newark, NY 14513
Phone: (315) 331-7150
Fax: (315) 331-8065
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Brooks Ave
Rochester, NY 14624-3512
Registry dates
- Enumerated
- 2008-03-12
- Last updated
- 2008-03-12
Frequently asked questions
- What is Isaac Provo's NPI number?
- Isaac Provo's National Provider Identifier (NPI) is 1639340169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Isaac Provo's specialty?
- Isaac Provo is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Isaac Provo located?
- Isaac Provo's practice location on file with NPPES is Miller and Finch Streets, Newark, NY 14513.
- What is Isaac Provo's phone number?
- The practice phone number listed in the NPPES registry for Isaac Provo is (315) 331-7150.
- Is Isaac Provo's NPI active?
- Yes — Isaac Provo's NPI (1639340169) is active in the NPPES registry as of the last update on 2008-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.