Active NPIIndividual provider

Dr. Kimberly E Jackman, PHARMD

Pharmacist in Canaan, Connecticut

NPI Number1578106290
Practice location
99 S Canaan RD, Canaan, CT 06018-2502
Fax
860-824-4147
Last updated
October 25, 2019

Kimberly Eileen Jackman is a Pharmacist based in Canaan, CT. Kimberly Eileen Jackman practices in Canaan, CT and has the professional credentials of PHARMD. The NPI Number for Kimberly Eileen Jackman is 1578106290 and holds a License No. 0014552 (CT). The current practice location address for Kimberly Eileen Jackman is 99 S Canaan RD, Canaan, CT 06018-2502 and can be reached out via phone at 860-824-3822 and via fax at 860-824-4147.

Provider Profile Details

NPI Number
1578106290
Provider Name
Kimberly Eileen Jackman
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
99 S Canaan RD, Canaan, CT 06018-2502
Phone Number
860-824-3822
Fax Number
860-824-4147
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2019
Last Update Date
October 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 S Canaan RD
Canaan, CT 06018-2502
City
Canaan
Zip
06018-2502
Phone Number
860-824-3822
Fax Number
860-824-4147
Canaan, CT 06018Get directions →

Provider Business Mailing Address Details

Address
99 S Canaan RD
Canaan, CT 06018-2502
City
Canaan
State
CT
Zip
06018-2502
Phone Number
860-824-3822
Fax Number
860-824-4147

License Information

License Number
0014552
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 Dr. Kimberly E Jackman, PHARMD?

The NPI number of Dr. Kimberly E Jackman, PHARMD is 1578106290. It was assigned on October 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Kimberly E Jackman, PHARMD?

Dr. Kimberly E Jackman, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 0014552.

Where does Dr. Kimberly E Jackman, PHARMD practice?

The practice location is 99 S Canaan RD, Canaan, CT 06018-2502. The office can be reached at 860-824-3822 (phone) or 860-824-4147 (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 1578106290 directly on the NPPES registry website.

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