MR. PHILLIP KIM FAVREAU JR. RPH
NPI 1932537412
Pharmacist in Syracuse, NY

Q: What is Phillip Favreau's NPI number?

The NPI number for Phillip Favreau is 1932537412. It was assigned to this individual provider in the NPPES registry on October 22, 2013.

Q: What is Phillip Favreau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Favreau was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 22, 2013

736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7520(315) 470-7976 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Phillip Kim Favreau Jr. Rph NPPES

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

MR. PHILLIP KIM FAVREAU JR. RPH (NPI 1932537412) is an individual pharmacist in Syracuse, New York, licensed in New York (037956) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1932537412

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameMR. PHILLIP KIM FAVREAU JR.Credential: RPH

Location Address736 IRVING AVESyracuse, NY 13210

Mailing Address736 Irving AveSyracuse, NY 13210 · (315) 470-7520 · Fax (315) 470-7976

Phone(315) 470-7520

Fax(315) 470-7976

Sole ProprietorNo

Enumeration DateOctober 22, 2013

✔ NPI 1932537412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in NY · 037956

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.

736 IRVING AVE, Syracuse, NY 13210

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Other Providers at the Same Location NPPES 20

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

IRENE S BORJA FNP-BC

Nurse Practitioner (Family)