KELLIE PROVO
NPI 1891018305
Pharmacist in Webster, NY

Active since March 11, 2010
900 HOLT RD, WEBSTER, NY 14580(585) 872-0880(585) 872-3019 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Provo NPPES

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

KELLIE PROVO (NPI 1891018305) is an individual pharmacist in Webster, New York, licensed in New York (046792) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1891018305
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLIE PROVO
Location Address900 HOLT RDWebster, NY 14580-9102
Mailing Address900 Holt RdWebster, NY 14580-9102 · (585) 872-0880 · Fax (585) 872-3019
Fax(585) 872-3019
Sole ProprietorNo
Enumeration DateMarch 11, 2010
NPI 1891018305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 046792
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.
900 HOLT RD, Webster, NY 14580

Other Identifiers 1

Other046792NY · Pharmacist License #

Other Providers at the Same Location NPPES 11

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

Pharmacist
900 HOLT RD
WEBSTER, NY 14580
Optometrist
900 HOLT RD, EMPIRE VISION CENTERS WEGMANS PLAZA
WEBSTER, NY 14580
Pharmacist
900 HOLT RD
WEBSTER, NY 14580
Pharmacist
900 HOLT RD, ATTN: PHARMACY MANAGER
WEBSTER, NY 14580
Pharmacist
900 HOLT RD
WEBSTER, NY 14580
Pharmacist
900 HOLT RD
WEBSTER, NY 14580
Pharmacy
900 HOLT RD, ATTN: PHARMACY MANAGER
WEBSTER, NY 14580
Pharmacist
900 HOLT RD, C/O PHARMACY
WEBSTER, NY 14580

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 Kellie Provo's NPI number?

The NPI number for Kellie Provo is 1891018305. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Where is Kellie Provo located?

Kellie Provo practices at 900 Holt Rd, Webster, NY 14580. The listed phone number is (585) 872-0880.

What is Kellie 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 Kellie Provo was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.