Provider Demographics
NPI:1639394042
Name:ROVEGNO, JAMES FRANCIS (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANCIS
Last Name:ROVEGNO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 PECK AVE
Mailing Address - Street 2:PO BOX 389
Mailing Address - City:CHAUTAUQUA
Mailing Address - State:NY
Mailing Address - Zip Code:14722-0389
Mailing Address - Country:US
Mailing Address - Phone:716-357-9266
Mailing Address - Fax:
Practice Address - Street 1:130 CHAUTAUQUA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NY
Practice Address - Zip Code:14750-1241
Practice Address - Country:US
Practice Address - Phone:716-763-0016
Practice Address - Fax:716-763-0076
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027298-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist