Dr. Derek Gyllenhammer
Pharmacist in Suffield, Connecticut
1245788157- Practice location
- 163 Mountain RD, Suffield, CT 06078-2005
- Phone
- 860-668-5115
- Fax
- 860-668-0856
- Last updated
- September 20, 2016
Derek Gyllenhammer is a Pharmacist based in Suffield, CT. Derek Gyllenhammer practices in Suffield, CT. The NPI Number for Derek Gyllenhammer is 1245788157 and holds a License No. 13809 (CT). The current practice location address for Derek Gyllenhammer is 163 Mountain RD, Suffield, CT 06078-2005 and can be reached out via phone at 860-668-5115 and via fax at 860-668-0856.
Provider Profile Details
- NPI Number
- 1245788157
- Provider Name
- Derek Gyllenhammer
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 163 Mountain RD, Suffield, CT 06078-2005
- Phone Number
- 860-668-5115
- Fax Number
- 860-668-0856
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 20, 2016
- Last Update Date
- September 20, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Mountain RD
Suffield, CT 06078-2005 - City
- Suffield
- State
- Connecticut
- Zip
- 06078-2005
- Phone Number
- 860-668-5115
- Fax Number
- 860-668-0856
Provider Business Mailing Address Details
- Address
- 163 Mountain RD
Suffield, CT 06078-2005 - City
- Suffield
- State
- CT
- Zip
- 06078-2005
- Phone Number
- 860-668-5115
- Fax Number
- 860-668-0856
License Information
- License Number
- 13809
- License State
- CT
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Suffield, CT
View all Pharmacists in Suffield →Frequently Asked Questions
What is the NPI number of Dr. Derek Gyllenhammer?
The NPI number of Dr. Derek Gyllenhammer is 1245788157. It was assigned on September 20, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Derek Gyllenhammer?
Dr. Derek Gyllenhammer is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 13809.
Where does Dr. Derek Gyllenhammer practice?
The practice location is 163 Mountain RD, Suffield, CT 06078-2005. The office can be reached at 860-668-5115 (phone) or 860-668-0856 (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 1245788157 directly on the NPPES registry website.