DR. KRYSTEN N MAROTTA (NPI# 1366858359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366858359 |
| Entity Type | Individual |
| Full Name | DR. KRYSTEN N MAROTTA |
| Credential | PHARMD |
| Practice Address |
1290 Albany Ave Hartford CT 06112 |
| Mailing Address |
40 Vera St West Hartford CT 06119-1948 |
| Practice Telephone | 8605601881 |
| Mailing Telephone | 6096685018 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0013096 | CT | Pharmacy Service Providers |
| Street Address |
1290 ALBANY AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| 1164595674 | Ismael Santiago Lamb | Social Worker | Capitol Region Mental Health Center, Hartford, CT 06112 | 2006-11-15 |
| Find all providers in zip 06112 | ||||
| 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 |
|---|---|---|---|---|
| 1124646922 | Rebecca R Lamore | Pharmacist | 100 Retreat Ave Ste 102b, Hartford, CT 06106-2528 | 2020-07-08 |
| 1891317590 | Darren Kueter | Pharmacist | 304 W Sd Highway 38 Ste 102, Hartford, SD 57033-2252 | 2020-05-15 |
| 1922634104 | Susan Margaret Grosskreuz | Pharmacist | 1640 E Sumner St Ste 100, Hartford, WI 53027-2684 | 2020-03-19 |
| 1477069565 | Tiffany Gray | Pharmacist | 37 Sharon St, Hartford, CT 06112-1737 | 2017-12-27 |
| 1699229583 | Rajasekhar Malladi | Pharmacist | 10 Frederick St, #304, Hartford, CT 06105-4561 | 2016-08-08 |
| 1912450115 | Tonna C. Alimole | Pharmacist | 95 Woodland St Fl 4, Hartford, CT 06105 | 2016-07-25 |
| 1942666219 | Nicholas Jarest | Pharmacist | 92 Weston St Ste 16, Hartford, CT 06120-1518 | 2016-01-02 |
| 1144578527 | Shamsul Arif | Pharmacist | 100 Retreat Ave Ste 105, Hartford, CT 06106-2528 | 2012-08-16 |
| 1245524032 | Son H Cao | Pharmacist | 315 Franklin Ave, Hartford, CT 06114-1851 | 2011-06-08 |
| 1750675773 | Scott Forler | Pharmacist | 250 Main St Apt 927, Hartford, CT 06106-1877 | 2011-06-07 |
| Find all providers in HARTFORD | ||||
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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.