Provider Demographics
NPI:1679770127
Name:TOMPKINS, JOHN B (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:B
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6304 CANDLE LIGHT RUN
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9592
Mailing Address - Country:US
Mailing Address - Phone:585-924-4483
Mailing Address - Fax:585-924-4483
Practice Address - Street 1:51 ASSEMBLY DR.
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:NY
Practice Address - Zip Code:14506
Practice Address - Country:US
Practice Address - Phone:585-624-8010
Practice Address - Fax:585-624-8019
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist