Active NPIIndividual providerSole proprietor

Dr. Jacob Badura

Pharmacist in Bloomfield, Connecticut

NPI Number1669835138
Practice location
799-824 Park Ave, Bloomfield, CT 06002
Fax
—
Last updated
April 1, 2016

Jacob Badura is a Pharmacist based in Bloomfield, CT. Jacob Badura practices in Bloomfield, CT. The NPI Number for Jacob Badura is 1669835138 and holds a License No. PCT.0011967 (CT). The current practice location address for Jacob Badura is 799-824 Park Ave, Bloomfield, CT 06002 and can be reached out via phone at 860-243-1704.

Provider Profile Details

NPI Number
1669835138
Provider Name
Jacob Badura
Provider Entity Type
Individual
Gender
Male
Address
799-824 Park Ave, Bloomfield, CT 06002
Phone Number
860-243-1704
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
April 1, 2016
Last Update Date
April 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
799-824 Park Ave
Bloomfield, CT 06002
Zip
06002
Phone Number
860-243-1704
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
45 Woodside Dr
South Windsor, CT 06074-3438
City
South Windsor
State
CT
Zip
06074-3438
Phone Number
860-874-6368

License Information

License Number
PCT.0011967
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. Jacob Badura?

The NPI number of Dr. Jacob Badura is 1669835138. It was assigned on April 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Jacob Badura?

Dr. Jacob Badura is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0011967.

Where does Dr. Jacob Badura practice?

The practice location is 799-824 Park Ave, Bloomfield, CT 06002. The office can be reached at 860-243-1704 (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 1669835138 directly on the NPPES registry website.

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