Active NPIIndividual providerSole proprietor

Justin Smith

Pharmacist in South Windsor, Connecticut

NPI Number1598202822
Practice location
525 Buckland RD, South Windsor, CT 06074-3746
Fax
860-644-6883
Last updated
December 24, 2022

Justin Smith is a Pharmacist based in South Windsor, CT. Justin Smith practices in South Windsor, CT. The NPI Number for Justin Smith is 1598202822 and holds a License No. 12693 (CT). The current practice location address for Justin Smith is 525 Buckland RD, South Windsor, CT 06074-3746 and can be reached out via phone at 860-644-4241 and via fax at 860-644-6883.

Provider Profile Details

NPI Number
1598202822
Provider Name
Justin Smith
Provider Entity Type
Individual
Gender
Male
Address
525 Buckland RD, South Windsor, CT 06074-3746
Phone Number
860-644-4241
Fax Number
860-644-6883
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2017
Last Update Date
December 24, 2022
Certification Date
December 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Buckland RD
South Windsor, CT 06074-3746
Zip
06074-3746
Phone Number
860-644-4241
Fax Number
860-644-6883
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
1475 Main St
Willimantic, CT 06226-1914
City
Willimantic
State
CT
Zip
06226-1914
Phone Number
860-423-6304
Fax Number
860-423-5873

License Information

License Number
12693
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 Justin Smith?

The NPI number of Justin Smith is 1598202822. It was assigned on January 25, 2017 and is currently active in the NPPES registry.

What is the specialty of Justin Smith?

Justin Smith is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 12693.

Where does Justin Smith practice?

The practice location is 525 Buckland RD, South Windsor, CT 06074-3746. The office can be reached at 860-644-4241 (phone) or 860-644-6883 (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 1598202822 directly on the NPPES registry website.

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