- Practice location
- 601 Route 32, Uncasville, CT 06382-2104
- Phone
- 860-848-7979
- Fax
- —
- Last updated
- November 14, 2021
Ricky Phongsa is a Pharmacist based in Uncasville, CT. Ricky Phongsa practices in Uncasville, CT. The NPI Number for Ricky Phongsa is 1346765781 and holds a License No. PCT.0014070 (CT). The current practice location address for Ricky Phongsa is 601 Route 32, Uncasville, CT 06382-2104 and can be reached out via phone at 860-848-7979.
Provider Profile Details
- NPI Number
- 1346765781
- Provider Name
- Ricky Phongsa
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 601 Route 32, Uncasville, CT 06382-2104
- Phone Number
- 860-848-7979
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2017
- Last Update Date
- November 14, 2021
- Certification Date
- November 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 601 Route 32
Uncasville, CT 06382-2104 - City
- Uncasville
- State
- Connecticut
- Zip
- 06382-2104
- Phone Number
- 860-848-7979
Provider Business Mailing Address Details
- Address
- 119 S Main St
Colchester, CT 06415-1456 - City
- Colchester
- State
- CT
- Zip
- 06415-1456
- Phone Number
- 860-537-0711
License Information
- License Number
- PCT.0014070
- 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 Uncasville, CT
View all Pharmacists in Uncasville →Frequently Asked Questions
What is the NPI number of Ricky Phongsa?
The NPI number of Ricky Phongsa is 1346765781. It was assigned on August 7, 2017 and is currently active in the NPPES registry.
What is the specialty of Ricky Phongsa?
Ricky Phongsa is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0014070.
Where does Ricky Phongsa practice?
The practice location is 601 Route 32, Uncasville, CT 06382-2104. The office can be reached at 860-848-7979 (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 1346765781 directly on the NPPES registry website.