Active NPIIndividual provider

Connor Bertaut, PHARMD

Pharmacist in Agawam, Massachusetts

NPI Number1306667274
Practice location
350 Meadow St, Agawam, MA 01001-2217
Fax
—
Last updated
October 22, 2024

Connor Bertaut is a Pharmacist based in Agawam, MA. Connor Bertaut practices in Agawam, MA and has the professional credentials of PHARMD. The NPI Number for Connor Bertaut is 1306667274 and holds a License No. PCT.0016781 (CT). The current practice location address for Connor Bertaut is 350 Meadow St, Agawam, MA 01001-2217 and can be reached out via phone at 504-450-5903.

Provider Profile Details

NPI Number
1306667274
Provider Name
Connor Bertaut
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
350 Meadow St, Agawam, MA 01001-2217
Phone Number
504-450-5903
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
October 22, 2024
Last Update Date
October 22, 2024
Certification Date
October 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Meadow St
Agawam, MA 01001-2217
City
Agawam
Zip
01001-2217
Phone Number
504-450-5903
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
350 Meadow St Apt 45
Agawam, MA 01001-2232
City
Agawam
State
MA
Zip
01001-2232

License Information

License Number
PCT.0016781
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 Connor Bertaut, PHARMD?

The NPI number of Connor Bertaut, PHARMD is 1306667274. It was assigned on October 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Connor Bertaut, PHARMD?

Connor Bertaut, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0016781.

Where does Connor Bertaut, PHARMD practice?

The practice location is 350 Meadow St, Agawam, MA 01001-2217. The office can be reached at 504-450-5903 (phone).

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 1306667274 directly on the NPPES registry website.

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