Provider Demographics
NPI:1013232891
Name:KAIMAKIDES, THOMAS PETER (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:PETER
Last Name:KAIMAKIDES
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 1:2 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927-1966
Mailing Address - Country:US
Mailing Address - Phone:845-553-9900
Mailing Address - Fax:845-553-9911
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1966
Practice Address - Country:US
Practice Address - Phone:845-553-9900
Practice Address - Fax:845-553-9911
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist