BROOKE SHERIDAN (NPI# 1952814535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952814535 |
| Entity Type | Individual |
| Full Name | BROOKE SHERIDAN |
| Practice Address |
839 E Main St Meriden CT 06450-6006 |
| Mailing Address |
131 Tri Mountain Rd Durham CT 06422-2309 |
| Practice Telephone | 2032358285 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14119 | CT | Pharmacy Service Providers |
| Street Address |
839 E MAIN ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467556365 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 839 E Main St, Meriden, CT 06450-6006 | 2006-09-12 |
| 1205280708 | Michelle Pheng | Pharmacist | 839 E Main St, Meriden, CT 06450-6006 | 2016-04-20 |
| 1649544917 | Jigar G Shah | Pharmacist | 839 E Main St, Meriden, CT 06450-6006 | 2012-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1306230453 | Daina Smith | Pharmacist | 8023 K4 Hwy, Meriden, KS 66512-9052 | 2015-03-26 |
| 1598166217 | Florence Alila-ciampolillo | Pharmacist | 245 E Woodland St, Apt 29, Meriden, CT 06451-2000 | 2014-09-12 |
| 1699111708 | Dong G Nguyen | Pharmacist | 7210 K4 Hwy Ste A, Meriden, KS 66512-9389 | 2013-05-15 |
| 1063033264 | Komal Patel | Pharmacist | 153 Broad St, Meriden, CT 06450-6550 | 2020-04-29 |
| 1780242008 | Shuai Wang | Pharmacist | 425 W Main St, Meriden, CT 06451-3816 | 2019-06-01 |
| 1700389996 | Diane Servedio | Pharmacist | 172 W Main St, Meriden, CT 06451-4104 | 2018-03-14 |
| 1871008813 | Tara Raymaakers | Pharmacist | 485 Broad St, Meriden, CT 06450-5801 | 2017-12-13 |
| 1710491634 | Nicole Marie Davoren | Pharmacist | 825 E Main St, Meriden, CT 06450-6064 | 2017-11-30 |
| 1346752532 | Maria Beaudoin | Pharmacist | 172 W Main St, Meriden, CT 06451-4104 | 2017-10-29 |
| 1528578127 | Maegen Hulten | Pharmacist | 825 E Main St, Meriden, CT 06450-6064 | 2017-10-09 |
| Find all providers in MERIDEN | ||||
Please comment or provide details below to improve the information on BROOKE SHERIDAN.
| 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.