Shea Bacon, PHARMD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Haven, Connecticut
1447979935- Practice location
- 55 Park St, New Haven, CT 06511-5474
- Phone
- 203-907-8360
- Fax
- —
- Last updated
- August 26, 2022
Shea Bacon is a Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in New Haven, CT. Shea Bacon practices in New Haven, CT and has the professional credentials of PHARMD. The NPI Number for Shea Bacon is 1447979935 and holds a License No. PCT.0015910 (CT). The current practice location address for Shea Bacon is 55 Park St, New Haven, CT 06511-5474 and can be reached out via phone at 203-907-8360.
Provider Profile Details
- NPI Number
- 1447979935
- Provider Name
- Shea Bacon
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Park St, New Haven, CT 06511-5474
- Phone Number
- 203-907-8360
- Primary Taxonomy
- Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · 1835P0018X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 26, 2022
- Last Update Date
- August 26, 2022
- Certification Date
- August 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Park St
New Haven, CT 06511-5474 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5474
- Phone Number
- 203-907-8360
Provider Business Mailing Address Details
- Address
- 55 Park St
New Haven, CT 06511-5474 - City
- New Haven
- State
- CT
- Zip
- 06511-5474
License Information
- License Number
- PCT.0015910
- License State
- CT
- Taxonomy
- Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · 1835P0018X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shea Bacon, PHARMD?
The NPI number of Shea Bacon, PHARMD is 1447979935. It was assigned on August 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Shea Bacon, PHARMD?
Shea Bacon, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (code 1835P0018X), licensed in CT under license number PCT.0015910.
Where does Shea Bacon, PHARMD practice?
The practice location is 55 Park St, New Haven, CT 06511-5474. The office can be reached at 203-907-8360 (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 1447979935 directly on the NPPES registry website.