Active NPIIndividual provider

Mr. Johannes K Gunawan, RPH

Pharmacist in Norwalk, Tennessee

NPI Number1003097320
Practice location
680 Connecticut Ave, Norwalk, TN 06854
Fax
203-854-9526
Last updated
November 15, 2007

Johannes Kee Gunawan is a Pharmacist based in Norwalk, TN. Johannes Kee Gunawan practices in Norwalk, TN and has the professional credentials of RPH. The NPI Number for Johannes Kee Gunawan is 1003097320 and holds a License No. 8699 (CT). The current practice location address for Johannes Kee Gunawan is 680 Connecticut Ave, Norwalk, TN 06854 and can be reached out via phone at 203-854-8519 and via fax at 203-854-9526.

Provider Profile Details

NPI Number
1003097320
Provider Name
Johannes Kee Gunawan
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
680 Connecticut Ave, Norwalk, TN 06854
Phone Number
203-854-8519
Fax Number
203-854-9526
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2007
Last Update Date
November 15, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Connecticut Ave
Norwalk, TN 06854
Zip
06854
Phone Number
203-854-8519
Fax Number
203-854-9526
Norwalk, TN 06854Get directions →

Provider Business Mailing Address Details

Address
39 Monroe Street Apartment # 1
New York, NY 10002
City
New York
State
NY
Zip
10002
Phone Number
917-324-7337

License Information

License Number
8699
License State
CT
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Johannes K Gunawan, RPH?

The NPI number of Mr. Johannes K Gunawan, RPH is 1003097320. It was assigned on November 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Johannes K Gunawan, RPH?

Mr. Johannes K Gunawan, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 8699.

Where does Mr. Johannes K Gunawan, RPH practice?

The practice location is 680 Connecticut Ave, Norwalk, TN 06854. The office can be reached at 203-854-8519 (phone) or 203-854-9526 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003097320 directly on the NPPES registry website.

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