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ISAAC G PROVO RPH
NPI 1639340169
Pharmacist in Newark, NY

Active since March 12, 2008
MILLER AND FINCH STREETS, ATTN PHARMACY MANAGER, NEWARK, NY 14513(315) 331-7150(315) 331-8065 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Isaac G Provo Rph NPPES

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

ISAAC G PROVO RPH (NPI 1639340169) is an individual pharmacist in Newark, New York, licensed in New York (030985) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1639340169
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameISAAC G PROVOCredential: RPH
Location AddressMILLER AND FINCH STREETS, ATTN PHARMACY MANAGERNewark, NY 14513
Mailing Address1500 Brooks Ave, Attn: Pharmacy OfficeRochester, NY 14624-3512 · (585) 239-2020 · Fax (585) 239-2015
Phone(315) 331-7150
Fax(315) 331-8065
Sole ProprietorNo
Enumeration DateMarch 12, 2008
✔ NPI 1639340169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 030985
Definition
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.
MILLER AND FINCH STREETS, Newark, NY 14513
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Other Identifiers 1

Other030985NY · Pharmacist License

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 Isaac Provo's NPI number?

The NPI number for Isaac Provo is 1639340169. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Isaac Provo located?

Isaac Provo practices at Miller And Finch Streets Attn Pharmacy Manager, Newark, NY 14513. The listed phone number is (315) 331-7150.

What is Isaac Provo's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Isaac Provo was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.