Provider Demographics
NPI:1285812669
Name:CHMIEL, JEREMY JOSEPH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:JOSEPH
Last Name:CHMIEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-2915
Mailing Address - Country:US
Mailing Address - Phone:607-773-8338
Mailing Address - Fax:607-773-1649
Practice Address - Street 1:68 MAIN ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-2915
Practice Address - Country:US
Practice Address - Phone:607-773-8338
Practice Address - Fax:607-773-1649
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist