BRIAN PETRAS (NPI# 1164792180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164792180 |
| Entity Type | Individual |
| Full Name | BRIAN PETRAS |
| Practice Address |
148 Eastern Blvd #400 Glastonbury CT 06033 |
| Mailing Address |
87 Kelsey Springs Dr Madison CT 06443 |
| Practice Telephone | 8606578014 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0011944 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316084916 | Brian Garry Petras | Dentist | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2007-01-31 |
| Street Address |
148 EASTERN BLVD #400 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| 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 |
|---|---|---|---|---|
| 1538652656 | Cheryl Tomastik | Pharmacist | 215 Glastonbury Blvd Ste 2, Glastonbury, CT 06033-4433 | 2018-06-13 |
| 1881044212 | Lenina Thumma | Pharmacist | 26 Nanel Dr Apt C, Glastonbury, CT 06033-2250 | 2016-06-16 |
| 1962808659 | Jalaja Alisetty | Pharmacist | 28 Nanel Dr, Glastonbury, CT 06033-2251 | 2014-11-07 |
| 1629353651 | Darci Deanna Koziel | Pharmacist | 131 Gates Farm Rd, Glastonbury, CT 06033-3220 | 2011-10-21 |
| 1477852523 | Mahomi Gendron | Pharmacist | 289 Hubbard St, Glastonbury, CT 06033-3061 | 2011-03-15 |
| 1114170784 | Ellen Sue Moses | Pharmacist | 79 Natchaug Dr, Glastonbury, CT 06033-1913 | 2008-10-28 |
| 1053463737 | Milissa Ann Rock | Pharmacist | 148 Eastern Blvd Ste 4, Walgreens District 125, Glastonbury, CT 06033-4321 | 2007-01-16 |
| 1962014241 | Sharada Vemula | Pharmacist | 1312 Manchester Rd, Glastonbury, CT 06033-1824 | 2020-08-19 |
| 1649750316 | Glenn Rappaport | Pharmacist | 215 Glastonbury Blvd, Glastonbury, CT 06033-4408 | 2018-08-21 |
| 1558841676 | Astha Maltare | Pharmacist | 2639 Main St, Glastonbury, CT 06033-2023 | 2018-08-17 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on BRIAN PETRAS.
| 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.