Healthcare Provider Details

I. General information

NPI: 1851295307
Provider Name (Legal Business Name): CHRISTOPHER OLIVA PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E MAIN ST
MOUNT KISCO NY
10549-3417
US

IV. Provider business mailing address

400 E MAIN ST
MOUNT KISCO NY
10549-3417
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-1643
  • Fax: 914-666-1977
Mailing address:
  • Phone: 914-666-1643
  • Fax: 914-666-1977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number039559
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: