KELLY A FRAZIER


Address: 2 Stonemeadow Ln, Collinsville, CT 06019-3733
Phone: 8606932093

KELLY A FRAZIER (NPI# 1164056776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164056776
Entity Type Individual
Full Name KELLY A FRAZIER
Credential PHARMD
Practice Address 2 Stonemeadow Ln
Collinsville
CT 06019-3733
Practice Telephone 8606932093
Enumeration Date 2020-02-24
Last Update Date 2020-02-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PR69640 ME Pharmacy Service Providers

Other Providers KELLY FRAZIER

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1760843882 Kelly Frazier Occupational Therapist 7309 2nd Ave, Sykesville, MD 21784-7531 2016-03-17
1417298183 Kelly Delaine Frazier Nurse Practitioner 970 Holly St, Orangeburg, SC 29115-4930 2013-03-06

Office Location

Street Address 2 STONEMEADOW LN
City COLLINSVILLE
State CT
Zip Code 06019-3733

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912532953 Canton Geriatrics Pllc Clinic/Center 461 Cherry Brook Road, Canton, CT 06019 2020-03-10
1245877638 Cara Noel Donahue Social Worker Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 2019-12-04
1629614953 Reformed Nutrition LLC Dietitian, Registered 220 Albany Turnpike, Unit 1, Canton, CT 06019 2019-11-21
1144607367 Jordan Sileo Wasik Counselor 20 Depot St., Collinsville, CT 06019 2015-04-27
1578957361 Glaser Helpers, Inc. Home Health 6 Wickhams Fancy, Collinsville, CT 06019 2015-03-19
1346686136 Anna Sastre Family Medicine 117 Albany Turnpike, Canton, CT 06019 2013-05-20
1356698856 Connecticut Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 111 Albany Turnpike, Canton, CT 06019 2012-08-14
1881858959 Connecticut Foot Specialists PC Podiatrist 259 Albany Turnpike, Suite C, Canton, CT 06019 2008-07-17
1073734505 Matthew Keefe Dentist 191 Albany Turnpike, Canton, CT 06019 2007-05-01
1710092432 Gerard Edward-zackary Bogucki Dentist 66 Maple Avenue, Collinsville, CT 06019 2006-08-20
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1225697865 Kristin Waters Pharmacist 55 York St, New Haven, CT 06511-5653 2019-06-07
1679131924 Alex Robert Dozier Pharmacist 340 Pumpkin Hill Rd, Ledyard, CT 06339-1947 2019-06-02
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1063079358 Noura Jeblawi Pharmacist 11 Saint John St Unit C11, North Haven, CT 06473-2371 2019-05-22
1710498589 Brandon Kyle Martinez Pharmacist 200 Andrews Way Apt 206, South Windsor, CT 06074-6995 2017-10-19
1689927915 Michael Robert Sullivan Pharmacist 41 Buena Vista St, Stamford, CT 06907-2402 2012-10-24
1558663377 Sukhvir Kaur Pharmacist 229 Trumbull St, Hartford, CT 06103-1501 2010-11-30
1124331756 Myla Anderson Pharmacist 293 3rd Ave, West Haven, CT 06516-5404 2010-07-25
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Competitor

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City COLLINSVILLE
Zip Code 06019

Improve Information

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Dataset Information

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.

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