DR. KIMBERLY TYNIK (NPI# 1376100339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376100339 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY TYNIK |
| Credential | PHARM D |
| Practice Address |
451 Fowler Ave Middletown CT 06457 |
| Practice Telephone | 8608035195 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PCT.0013659 | CT | Pharmacy Service Providers |
| Street Address |
451 FOWLER AVE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| 1265880116 | Cynthia Holley | Pharmacist | 855 Washington St., Middletown, CT 06457 | 2016-06-01 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1932742343 | Ernest Kwasi Duah Nyannor | Pharmacist | 155 Green Forest Dr, Middletown, DE 19709-1765 | 2019-10-18 |
| 1619580834 | Scott Alan Sellers | Pharmacist | 428 Oxford State Rd, Middletown, OH 45044-7434 | 2020-08-27 |
| 1023630993 | Treesa Joseph | Pharmacist | 707 E Main St, Middletown, NY 10940-2650 | 2020-05-13 |
| 1649800251 | Jason Ball | Pharmacist | 428 Oxford State Rd, Middletown, OH 45044-7434 | 2020-01-22 |
| 1578103792 | Lauren Nicole Steele | Pharmacist | 3420 Towne Blvd, Middletown, OH 45005-5506 | 2020-01-15 |
| 1942706114 | Hannah Elizabeth Purdy | Pharmacist | 12501 Shelbyville Rd, Middletown, KY 40243-1530 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1164056776 | Kelly A Frazier | Pharmacist | 2 Stonemeadow Ln, Collinsville, CT 06019-3733 | 2020-02-24 |
| 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 |
| 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 | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on DR. KIMBERLY TYNIK.
| 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.