Simsbury Pharmacy

LBN: Robert Kevorkian
Simsbury Pharmacy is an health care organization with primary practice located at 1418 Hopmeadow St , Simsbury CT 06070-1410. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Robert Kevorkian can be contacted via phone (860) 658-4489, or through Kevorkian, Robert via phone (860) 658-4489.

Contact Information

Primary practice address
1418 Hopmeadow St Simsbury CT 06070-1410
Phone: (860) 658-4489
Fax: (860) 651-7663
Website:
Map and Directions
Authorized official contact:
Name: Kevorkian, Robert RPH PHD
Phone: (860) 658-4489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY0000856 Connecticut

Profile Details

NPI number 1235236431
LBN Legal business name Robert Kevorkian
DBA Doing business as Simsbury Pharmacy
Authorized official Kevorkian, Robert RPH PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 23rd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235236431 NPPES
Connecticut MEDICAID 004030763
Connecticut Other 1998104

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