1720303951 NPI number — MRS. DAWN EILEEN CIMO-HEWITT RPH

Table of content: MRS. DAWN EILEEN CIMO-HEWITT RPH (NPI 1720303951)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720303951 NPI number — MRS. DAWN EILEEN CIMO-HEWITT RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CIMO-HEWITT
Provider First Name:
DAWN
Provider Middle Name:
EILEEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CIMO
Provider Other First Name:
DAWN
Provider Other Middle Name:
EILEEN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RPH
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1720303951
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 N. JAMES ST.
Provider Second Line Business Mailing Address:
C/O ROME HOSPITAL PHARMACY FOR DAWN HEWITT
Provider Business Mailing Address City Name:
ROME
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-338-7151
Provider Business Mailing Address Fax Number:
315-338-7122

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 NORTH JAMES ST.
Provider Second Line Business Practice Location Address:
RMH RETAIL PHARMACY
Provider Business Practice Location Address City Name:
ROME
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-338-7690
Provider Business Practice Location Address Fax Number:
315-338-7697
Provider Enumeration Date:
03/31/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  039-390 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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