SATHEESH KOMMA (NPI# 1497023816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497023816 |
| Entity Type | Individual |
| Full Name | SATHEESH KOMMA |
| Practice Address |
150 Barnum Avenue Cutoff Stratford CT 06614-5111 |
| Practice Telephone | 2035027629 |
| Practice Fax Number | 2035027655 |
| Mailing Telephone | 2035027629 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| 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.0010229 | CT | Pharmacy Service Providers |
| Street Address |
150 BARNUM AVENUE CUTOFF |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407874928 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2006-07-17 |
| 1285123695 | Avril Marie Sanz | Pharmacist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2018-05-02 |
| 1013428754 | Alfredo A Angeles-puriaman | Technician/Technologist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2017-10-21 |
| 1124572813 | Joseph Vanhoose | Technician/Technologist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2016-08-10 |
| 1225040132 | Arnold A. Cummins | Optometrist | 150 Barnum Avenue Cutoff, Walmart Vision Center, Stratford, CT 06614 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1508376385 | Nicole C Palin | Pharmacist | 355 Hawley Ln, Stratford, CT 06614-1514 | 2017-10-05 |
| 1285005777 | Nikunj Vyas | Pharmacist | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2015-10-09 |
| 1558500975 | Andrea S. Weeks | Pharmacist | 18 E Laurel Rd, Kennedy Health System, Stratford, NJ 08084-1327 | 2009-02-09 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.