Individual provider · Type 1 NPI

Jack Henry Kalabanka

Pharmacist · Rochester, NY

NPI number 1407792120 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

5904 E Lake Rd
Auburn, NY 13021-9612

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X072876 (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 1407792120

Jack Henry Kalabanka's National Provider Identifier is 1407792120, issued on Apr 25, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rochester, NY. The record was last updated on Apr 25, 2026.