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

Isaac G Provo, RPH

Individual provider Pharmacist · NPI 1639340169

Isaac G Provo, RPH is a Pharmacist in Newark, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Partly verified

Some contact details are missing from the federal record.

Miller And Finch Streets Attn Pharmacy Manager
Newark, NY 14513
Phone: (315) 331-7150
Fax: (315) 331-8065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 030985 (NY)

Record details

NPI number1639340169
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 12, 2008
Last updated in NPPESMarch 12, 2008
Mailing address1500 Brooks Ave, Attn: Pharmacy Office, Rochester, NY 14624-3512

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