Active NPIIndividual providerSole proprietor

David A Vangeersdaele, PHARMACIST

Pharmacist in Watertown, Connecticut

NPI Number1033646732
Practice location
763 Straits Tpke Stop & Shop #657, Watertown, CT 06795-3318
Fax
860-274-6124
Last updated
May 12, 2017

David Allan Vangeersdaele is a Pharmacist based in Watertown, CT. David Allan Vangeersdaele practices in Watertown, CT and has the professional credentials of PHARMACIST. The NPI Number for David Allan Vangeersdaele is 1033646732 and holds a License No. 0005564 (CT). The current practice location address for David Allan Vangeersdaele is 763 Straits Tpke Stop & Shop #657, Watertown, CT 06795-3318 and can be reached out via phone at 860-274-7461 and via fax at 860-274-6124.

Provider Profile Details

NPI Number
1033646732
Provider Name
David Allan Vangeersdaele
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
763 Straits Tpke Stop & Shop #657, Watertown, CT 06795-3318
Phone Number
860-274-7461
Fax Number
860-274-6124
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
May 12, 2017
Last Update Date
May 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
763 Straits Tpke Stop & Shop #657
Watertown, CT 06795-3318
Zip
06795-3318
Phone Number
860-274-7461
Fax Number
860-274-6124
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
763 Straits Tpke Stop
Watertown, CT 06795-3318
City
Watertown
State
CT
Zip
06795-3318
Phone Number
860-274-7461
Fax Number
860-274-6124

License Information

License Number
0005564
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 David A Vangeersdaele, PHARMACIST?

The NPI number of David A Vangeersdaele, PHARMACIST is 1033646732. It was assigned on May 12, 2017 and is currently active in the NPPES registry.

What is the specialty of David A Vangeersdaele, PHARMACIST?

David A Vangeersdaele, PHARMACIST is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 0005564.

Where does David A Vangeersdaele, PHARMACIST practice?

The practice location is 763 Straits Tpke Stop & Shop #657, Watertown, CT 06795-3318. The office can be reached at 860-274-7461 (phone) or 860-274-6124 (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 1033646732 directly on the NPPES registry website.

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