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

Kiera Gavan

Individual provider Pharmacist · NPI 1164146452

Kiera Gavan is a Pharmacist in Mattituck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

9870 Main Rd
Mattituck, NY 11952-1548
Phone: (631) 298-8280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 068456 (NY)

Record details

NPI number1164146452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

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