Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Prouty, PHMD

Individual provider Pharmacist · NPI 1003223793

Dr. Keith Prouty, PHMD is a Pharmacist in Medina, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

142 E Center St
Medina, NY 14103-1621
Phone: (585) 798-1212
Fax: (585) 798-2041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 059304 (NY)

Record details

NPI number1003223793
Entity typeIndividual (Type 1)
GenderMale
Credentials PHMD
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESJuly 15, 2014
Mailing address142 E Center St, Medina, NY 14103-1621

Other providers in Medina