Individual provider · Type 1 NPI

Robert Kennedy Awadallah, PharmD, ANP, MBA

Pharmacist · Port Jefferson, NY

NPI number 1043855596 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1968

Call (631) 474-6000 Map

Mailing address

134 Evelyn Rd
Mineola, NY 11501-3206

Specialties and licenses

TaxonomyCodeLicense
Nuclear Pharmacist 1835N0905X046732-1 (NY)
Pharmacist Primary 183500000X046732-1 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1043855596

Robert Kennedy Awadallah, PharmD, ANP, MBA's National Provider Identifier is 1043855596, issued on Nov 7, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Jefferson, NY. The record was last updated on Nov 7, 2019.