JAN CRISTOPHER HERNANDEZ DE GUZMAN (NPI# 1033603394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033603394 |
| Entity Type | Individual |
| Full Name | JAN CRISTOPHER HERNANDEZ DE GUZMAN |
| Practice Address |
22 Leetes Island Rd Branford CT 06405-6514 |
| Practice Telephone | 2034813392 |
| Practice Fax Number | 2034819670 |
| Mailing Telephone | 2034813392 |
| Mailing Fax Number | 2034819670 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0014232 | CT | Pharmacy Service Providers |
| Street Address |
22 LEETES ISLAND RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265464127 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 22 Leetes Island Rd, Branford, CT 06405-6514 | 2006-07-07 |
| 1134601917 | Anna Bonelli | Pharmacist | 22 Leetes Island Rd, Branford, CT 06405-6514 | 2018-08-29 |
| 1568956407 | Susan Mary Vankeuren | Pharmacist | 22 Leetes Island Rd, Branford, CT 06405-6514 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119596 | Katarzyna Pavelko | Physical Therapist | Branford Hills, 189 Alps Rd, Branford, CT 06405 | 2020-03-13 |
| 1174027213 | C & M Health Services Branford LLC | Home Health | 625 East Main Street, Branford, CT 06405 | 2018-03-22 |
| 1689181554 | Erin H Mccarthy | Social Worker | 513 Leetes Island Rd, Branford, CT 06405 | 2018-01-02 |
| 1255860516 | Sylcom Angelscare LLC | In Home Supportive Care | 1204 Main Street #241, Branford, CT 06405 | 2017-06-08 |
| 1093266439 | Emmanuel Chery | Physical Therapy Assistant | 153 Austin Ryer Lane, Branford, CT 06405 | 2016-10-20 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1558753897 | Donald Ray Sirry | Social Worker | 9 Business Park Drive, Unit 1, Branford, CT 06405 | 2015-02-24 |
| 1952679110 | Maria Rivera Heath Lmft, LLC | Marriage & Family Therapist | 388 East Main Street, Suite 19, Branford, CT 06405 | 2011-12-02 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1447554068 | Elizabeth's Home Health Care Agency L.L.C. | Home Health | 127 Cedar Street, Bronford, CT 06405 | 2010-12-23 |
| Find all providers in zip 06405 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653910 | Kristine L Lucertini | Pharmacist | 4 Wellesley Dr, Branford, CT 06405-3266 | 2018-06-19 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1487958872 | Tarun R Patel | Pharmacist | 60 Laurel Hill Rd, Branford, CT 06405-2408 | 2010-12-29 |
| 1962013037 | Patrick J Brennan | Pharmacist | 329 E Main St, Branford, CT 06405-3106 | 2020-08-12 |
| 1922616325 | Haley Annette Lozano | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405-6264 | 2020-07-21 |
| 1134601917 | Anna Bonelli | Pharmacist | 22 Leetes Island Rd, Branford, CT 06405-6514 | 2018-08-29 |
| 1568956407 | Susan Mary Vankeuren | Pharmacist | 22 Leetes Island Rd, Branford, CT 06405-6514 | 2018-06-14 |
| 1497254601 | Carmine Pascarella | Pharmacist | 120 Commercial Pkwy, Branford, CT 06405-2537 | 2018-02-03 |
| 1740788918 | Jordan Welch | Pharmacist | 120 Commercial Pkwy, Branford, CT 06405-2537 | 2018-01-23 |
| Find all providers in BRANFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.