Provider Demographics
NPI:1851579767
Name:POST, JEFF PATRICK (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:PATRICK
Last Name:POST
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 1:22 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090
Mailing Address - Country:US
Mailing Address - Phone:518-686-5831
Mailing Address - Fax:518-686-4185
Practice Address - Street 1:22 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090
Practice Address - Country:US
Practice Address - Phone:518-686-5831
Practice Address - Fax:518-686-4185
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0492041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00614737Medicaid