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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
2 STONEMEADOW LN |
City | COLLINSVILLE |
State | CT |
Zip Code | 06019-3733 |
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 |
Find all providers in zip 06019 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
Find all providers with the same taxonomy |
City | COLLINSVILLE |
Zip Code | 06019 |
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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.