Active NPIIndividual provider

Donna Mychaskiw, PD, MS

Pharmacist, Nutrition Support in Middlebury, Connecticut

NPI Number1164590915
Practice location
11 Abbott Farm RD, Middlebury, CT 06762-1213
Fax
203-758-9280
Last updated
July 8, 2007

Donna Mychaskiw is a Pharmacist, Nutrition Support based in Middlebury, CT. Donna Mychaskiw practices in Middlebury, CT and has the professional credentials of PD, MS. The NPI Number for Donna Mychaskiw is 1164590915 and holds a License No. 6394 (CT). The current practice location address for Donna Mychaskiw is 11 Abbott Farm RD, Middlebury, CT 06762-1213 and can be reached out via phone at 203-758-9280 and via fax at 203-758-9280.

Provider Profile Details

NPI Number
1164590915
Provider Name
Donna Mychaskiw
Credential
PD, MS
Provider Entity Type
Individual
Gender
Female
Address
11 Abbott Farm RD, Middlebury, CT 06762-1213
Phone Number
203-758-9280
Fax Number
203-758-9280
Primary Taxonomy
Pharmacist, Nutrition Support · 1835N1003X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Abbott Farm RD
Middlebury, CT 06762-1213
Zip
06762-1213
Phone Number
203-758-9280
Fax Number
203-758-9280
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
11 Abbott Farm RD
P.o. Box 1213
Middlebury, CT 06762-1213
City
Middlebury
State
CT
Zip
06762-1213
Phone Number
203-758-9280
Fax Number
203-758-9280

License Information

License Number
6394
License State
CT
Taxonomy
Pharmacist, Nutrition Support · 1835N1003X · 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 Donna Mychaskiw, PD, MS?

The NPI number of Donna Mychaskiw, PD, MS is 1164590915. It was assigned on December 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Donna Mychaskiw, PD, MS?

Donna Mychaskiw, PD, MS is registered under the primary taxonomy Pharmacist, Nutrition Support (code 1835N1003X), licensed in CT under license number 6394.

Where does Donna Mychaskiw, PD, MS practice?

The practice location is 11 Abbott Farm RD, Middlebury, CT 06762-1213. The office can be reached at 203-758-9280 (phone) or 203-758-9280 (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 1164590915 directly on the NPPES registry website.

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