Provider Demographics
NPI:1164890166
Name:MCKEVITT, CHELSEA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:MCKEVITT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SNOWS CT
Mailing Address - Street 2:APT A
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3307
Mailing Address - Country:US
Mailing Address - Phone:845-705-4029
Mailing Address - Fax:
Practice Address - Street 1:105 MILTON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03868-8604
Practice Address - Country:US
Practice Address - Phone:603-335-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4057183500000X
MAPH236071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist