MS. LINDA PHENGSAVATH (NPI# 1568853331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568853331 |
| Entity Type | Individual |
| Full Name | MS. LINDA PHENGSAVATH |
| Practice Address |
125 Buckland Hills Dr Manchester CT 06042-8701 |
| Mailing Address |
114 Corey St Windsor CT 06095-4519 |
| Practice Telephone | 8603270083 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PTN.0006998 | CT | Pharmacy Service Providers |
| Street Address |
125 BUCKLAND HILLS DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063484103 | George Raymond Stimac | Optometrist | 125 Buckland Hills Dr, @ Target Optical, Manchester, CT 06042-8701 | 2006-02-02 |
| 1922499888 | Heidi Organek | Pharmacy Technician | 125 Buckland Hills Dr, Manchester, CT 06042-8701 | 2015-02-13 |
| 1093092769 | George Bauer | Pharmacist | 125 Buckland Hills Dr, Manchester, CT 06042-8701 | 2011-11-09 |
| 1962789883 | Anna Jankowski | Pharmacist | 125 Buckland Hills Dr, Manchester, CT 06042-8701 | 2011-11-06 |
| 1437435823 | Kimberly Mrozinski | Pharmacist | 125 Buckland Hills Dr, T-1249, Manchester, CT 06042-8701 | 2011-10-29 |
| 1699826099 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 125 Buckland Hills Dr, Manchester, CT 06042-8701 | 2007-01-15 |
| 1083636682 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 125 Buckland Hills Dr, Manchester, CT 06042-8701 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922499888 | Heidi Organek | Pharmacy Technician | 125 Buckland Hills Dr, Manchester, CT 06042-8701 | 2015-02-13 |
| 1639308224 | Cody Domenick Goodwin | Pharmacy Technician | 227 S Main St, Manchester, NH 03102-4838 | 2009-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245898386 | Leanne Marie Varga | Pharmacy Technician | 315 E Village Rd, Shelton, CT 06484-1600 | 2019-06-04 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1023464898 | Samuel Paley | Pharmacy Technician | 198 Batterson Dr, New Britain, CT 06053-1064 | 2016-05-10 |
| 1093106007 | Jahaira Lopez | Pharmacy Technician | 148 Deerfield Ave, Waterbury, CT 06708-1331 | 2015-02-12 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1639569239 | Nicholas Ojeda | Pharmacy Technician | 23 Herman Way, South Windsor, CT 06074-1414 | 2015-02-03 |
| 1417347022 | Wanda Martinez | Pharmacy Technician | 165 Brookside Ave, Bridgeport, CT 06606-1502 | 2015-02-03 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1568607976 | Raj B Shah | Pharmacy Technician | 25 Sigourney St, Hartford, CT 06106-5041 | 2008-12-15 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on MS. LINDA PHENGSAVATH.
| 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.