MR. KEVIN JOHN WAITE JR. PHARMD
NPI 1346609476
Pharmacist - Nutrition Support in Bohemia, NY

Active since February 17, 2016
140 KEYLAND CT UNIT 27, BOHEMIA, NY 11716(631) 750-9088 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin John Waite Jr. Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN JOHN WAITE JR. PHARMD (NPI 1346609476) is an individual nutrition support provider in Bohemia, New York, licensed in New York (061399) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1346609476
Entity TypeIndividualMale
Primary Taxonomy1835N1003X
Provider Legal NameMR. KEVIN JOHN WAITE JR.Credential: PHARMD
Location Address140 KEYLAND CT UNIT 27Bohemia, NY 11716-2655
Mailing Address140 Keyland Ct Unit 27Bohemia, NY 11716-2655 · (631) 750-9088
Sole ProprietorNo
Enumeration DateFebruary 17, 2016
NPI 1346609476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
License Licensed in NY · 061399
Definition
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.
140 KEYLAND CT UNIT 27, Bohemia, NY 11716

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Home Infusion Therapy Pharmacy)
140 KEYLAND CT UNIT 27
BOHEMIA, NY 11716
Pharmacist (Nutrition Support)
140 KEYLAND CT UNIT 27
BOHEMIA, NY 11716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Waite's NPI number?

The NPI number for Kevin Waite is 1346609476. It was assigned to this individual provider in the NPPES registry on February 17, 2016.

Where is Kevin Waite located?

Kevin Waite practices at 140 Keyland Ct Unit 27, Bohemia, NY 11716. The listed phone number is (631) 750-9088.

What is Kevin Waite's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

When was this NPI record last updated?

The NPPES record for Kevin Waite was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.