MR. KEVIN D. REILLY (NPI# 1538342373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538342373 |
| Entity Type | Individual |
| Full Name | MR. KEVIN D. REILLY |
| Practice Address |
1792 N Goodman St Rochester NY 14609-1036 |
| Mailing Address |
93 Broadmoor Trl Po Box 231 Fairport NY 14450-9386 |
| Practice Telephone | 5854674422 |
| Practice Fax Number | 5852663057 |
| Mailing Telephone | 5853880931 |
| Mailing Fax Number | 5854252327 |
| Enumeration Date | 2007-12-16 |
| Last Update Date | 2007-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33647 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00446846 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427189323 | Kevin Patrick Reilly | Chiropractor | 1245 W 5th Ave, Columbus, OH 43212-2507 | 2007-03-09 |
| 1376674663 | Kevin Edward Reilly | Dentist | 650 Chase Parkway, Waterbury, CT 06708 | 2007-03-08 |
| 1427067685 | Kevin Donald Reilly | Physical Therapist | 999 Willamette St, Eugene, OR 97401-3112 | 2006-08-05 |
| 1528087244 | Kevin J Reilly | Clinical Neuropsychologist | 601 East Hampden Avenue, Suite 420, Englewood, CO 80113 | 2006-07-19 |
| 1700856838 | Kevin M Reilly | Dentist | 5507 Nesconset Hwy, Suite 23, Mount Sinai, NY 11766-2031 | 2006-01-23 |
| 1710394929 | Kevin Steven Reilly | Specialist/Technologist | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2014-07-21 |
| 1528497278 | Kevin Reilly | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2013-11-04 |
| 1962754804 | Kevin D Reilly | Physician Assistant | 217 Hillcrest St, Orlando, FL 32801-1211 | 2012-10-02 |
| 1225301799 | Kevin John Reilly | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2012-02-14 |
| 1073658910 | Kevin J Reilly | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2007-02-20 |
| Street Address |
1792 N GOODMAN ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031215 | Davis Le | Pharmacist | 1792 N Goodman St, Rochester, NY 14609-1036 | 2020-10-21 |
| 1225519010 | Bianca Lynn Rivera | Pharmacist | 1792 N Goodman St, Rochester, NY 14609-1036 | 2018-08-28 |
| 1730606393 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1792 N Goodman St, Rochester, NY 14609-1036 | 2017-08-24 |
| 1669742581 | Joshua Vito Marcello | Pharmacist | 1792 N Goodman St, Rochester, NY 14609-1036 | 2012-01-09 |
| 1194047480 | Cecile Lewis | Pharmacist | 1792 N Goodman St, Rochester, NY 14609-1036 | 2010-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1073163770 | Samantha Jo Faso | Pharmacist | 286 Creighton Ln, Rochester, NY 14612-2225 | 2019-09-13 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| Find all providers in ROCHESTER | ||||
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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.