Provider Demographics
NPI:1285727016
Name:PARDI, STEVEN A (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:PARDI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 CENTRAL AVE
Mailing Address - Street 2:SCRIPTS PLUS INC., DBA THE MEDICINE SHOPPE #1579
Mailing Address - City:ILION
Mailing Address - State:NY
Mailing Address - Zip Code:13357-1822
Mailing Address - Country:US
Mailing Address - Phone:315-894-7283
Mailing Address - Fax:315-895-0613
Practice Address - Street 1:10 CENTRAL AVE
Practice Address - Street 2:SCRIPTS PLUS,INC DBA THE MEDICINE SHOPPE#1579
Practice Address - City:ILION
Practice Address - State:NY
Practice Address - Zip Code:13357-1822
Practice Address - Country:US
Practice Address - Phone:315-894-7283
Practice Address - Fax:315-894-8879
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY033490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01993613Medicaid
NY1323660001Medicare NSC