Active NPIIndividual providerSole proprietor

Dr. Edward Korobkov, PHARMD

Pharmacist in Hartford, Connecticut

NPI Number1013491877
Practice location
479 Blue Hills Ave, Hartford, CT 06112-1514
Fax
860-769-6876
Last updated
July 18, 2023

Edward Korobkov is a Pharmacist based in Hartford, CT. Edward Korobkov practices in Hartford, CT and has the professional credentials of PHARMD. The NPI Number for Edward Korobkov is 1013491877 and holds a License No. PCT.0014589 (CT). The current practice location address for Edward Korobkov is 479 Blue Hills Ave, Hartford, CT 06112-1514 and can be reached out via phone at 860-769-6870 and via fax at 860-769-6876.

Provider Profile Details

NPI Number
1013491877
Provider Name
Edward Korobkov
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
479 Blue Hills Ave, Hartford, CT 06112-1514
Phone Number
860-769-6870
Fax Number
860-769-6876
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
September 18, 2018
Last Update Date
July 18, 2023
Certification Date
July 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
479 Blue Hills Ave
Hartford, CT 06112-1514
Zip
06112-1514
Phone Number
860-769-6870
Fax Number
860-769-6876
Hartford, CT 06112Get directions →

Provider Business Mailing Address Details

Address
20 Belmont St
Westfield, MA 01085-2324
City
Westfield
State
MA
Zip
01085-2324
Phone Number
413-875-5680

License Information

License Number
PCT.0014589
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 Dr. Edward Korobkov, PHARMD?

The NPI number of Dr. Edward Korobkov, PHARMD is 1013491877. It was assigned on September 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward Korobkov, PHARMD?

Dr. Edward Korobkov, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0014589.

Where does Dr. Edward Korobkov, PHARMD practice?

The practice location is 479 Blue Hills Ave, Hartford, CT 06112-1514. The office can be reached at 860-769-6870 (phone) or 860-769-6876 (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 1013491877 directly on the NPPES registry website.

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