MR. KEVIN JOHN WAITE PHARMD NPI 1346609476

NPI Information

  • NPI: 1346609476
  • Provider Name: MR. KEVIN JOHN WAITE, PHARMD
  • Classification: Pharmacist - 1835N1003X
  • Specialization: Nutrition Support
  • Entity Type: Individual
  • Address: 140 KEYLAND CT UNIT 27
    BOHEMIA, NY
    ZIP 11716
  • Phone: (631) 750-9088

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NPI Details

MR. Kevin John Waite, PHARMD is a nutrition support pharmacist in Bohemia, NY. The provider is 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. MR. Kevin John Waite, PHARMD NPI is 1346609476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

140 KEYLAND CT UNIT 27
BOHEMIA, NY
ZIP 11716-655
Phone: (631) 750-9088

The enumeration date for this NPI number is 2/17/2016 and was last updated on 2/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835N1003XPharmacistNutrition Support061399NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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