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

Individual provider Pharmacist · NPI 1700118486

Ethan Simon Asedo, RPH is a Pharmacist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

173 Broad St
Staten Island, NY 10304-2057
Phone: (718) 447-4127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 027362 (NY)

Record details

NPI number1700118486
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedFebruary 5, 2010
Last updated in NPPESFebruary 5, 2010
Mailing address173 Broad Street, Miller Pharmacy, Staten Island, NY 10304-2057

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