Active NPIIndividual providerSole proprietor

Keith D Lyke, RPH

Pharmacist in Killingworth, Connecticut

NPI Number1417535691
Practice location
183 Route 81, Killingworth, CT 06419-1480
Fax
860-452-4278
Last updated
March 30, 2021

Keith D Lyke is a Pharmacist based in Killingworth, CT. Keith D Lyke practices in Killingworth, CT and has the professional credentials of RPH. The NPI Number for Keith D Lyke is 1417535691 and holds a License No. 7806 (CT). The current practice location address for Keith D Lyke is 183 Route 81, Killingworth, CT 06419-1480 and can be reached out via phone at 860-452-4275 and via fax at 860-452-4278.

Provider Profile Details

NPI Number
1417535691
Provider Name
Keith D Lyke
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
183 Route 81, Killingworth, CT 06419-1480
Phone Number
860-452-4275
Fax Number
860-452-4278
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2021
Last Update Date
March 30, 2021
Certification Date
March 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
183 Route 81
Killingworth, CT 06419-1480
Zip
06419-1480
Phone Number
860-452-4275
Fax Number
860-452-4278
Killingworth, CT 06419Get directions →

Provider Business Mailing Address Details

Address
16 Brault Hill RD
Higganum, CT 06441-4442
City
Higganum
State
CT
Zip
06441-4442
Phone Number
860-685-1967
Fax Number
860-452-4278

License Information

License Number
7806
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 Keith D Lyke, RPH?

The NPI number of Keith D Lyke, RPH is 1417535691. It was assigned on March 30, 2021 and is currently active in the NPPES registry.

What is the specialty of Keith D Lyke, RPH?

Keith D Lyke, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 7806.

Where does Keith D Lyke, RPH practice?

The practice location is 183 Route 81, Killingworth, CT 06419-1480. The office can be reached at 860-452-4275 (phone) or 860-452-4278 (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 1417535691 directly on the NPPES registry website.

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