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KAITLIN DOMER
NPI 1821420837
Pharmacist in Cicero, NY

Active since July 31, 2013
6189 STATE ROUTE 31, CICERO, NY 13039(315) 699-0812 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Aug 9, 2021 (2 updates tracked since 2021).

About Kaitlin Domer NPPES

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

KAITLIN DOMER (NPI 1821420837) is an individual pharmacist in Cicero, New York, licensed in New York (058170) and active in the NPI registry since July 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821420837
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKAITLIN DOMER
Location Address6189 STATE ROUTE 31Cicero, NY 13039-8960
Mailing Address5189 State Route 31Cicero, NY 13039 · (315) 699-0812
Phone(315) 699-0812
Sole ProprietorNo
Enumeration DateJuly 31, 2013
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1821420837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 058170
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.
6189 STATE ROUTE 31, Cicero, NY 13039
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Secondary Practice Locations 2

Location 1602 Nottingham RdSyracuse, NY 13224-2234 · Phone (315) 446-4820
Location 2401 W Seneca TpkeSyracuse, NY 13207-2644 · Phone (315) 492-4034

Other Providers at the Same Location NPPES 5

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

CATHERINE MARIE FULLER
Pharmacist
6189 STATE ROUTE 31
CICERO, NY 13039
Onondaga County (315) 699-0812
NANA ASEBI PREMPEH RPH
Pharmacist
6189 STATE ROUTE 31
CICERO, NY 13039
Onondaga County (315) 699-0812
WALGREEN CO
Pharmacy
6189 STATE ROUTE 31
CICERO, NY 13039
Onondaga County (315) 699-0812
ALICIA ROSE LETIZIO
Pharmacist
6189 STATE ROUTE 31
CICERO, NY 13039
Onondaga County (315) 699-0812
DR. JENNIFER EBERLE PHARMD
Pharmacist
6189 STATE ROUTE 31, WALGREENS # 10750
CICERO, NY 13039
Onondaga County (315) 699-0812

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 Kaitlin Domer's NPI number?

The NPI number for Kaitlin Domer is 1821420837. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Kaitlin Domer located?

Kaitlin Domer practices at 6189 State Route 31, Cicero, NY 13039. The listed phone number is (315) 699-0812.

What is Kaitlin Domer'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 Kaitlin Domer was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.