Kimberly Cardona
Individual provider Active NPI Pharmacy Technician · Swansea, MA
NPI 1003207473 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1003207473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- PT15504 (MA)
- Practice address
- 579 Gar Hwy
Swansea, MA 02777-4502 - Phone
- (774) 488-3685
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15504 | MA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc. | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT15504 | MA | Yes |
Addresses
Primary practice location
579 Gar Hwy
Swansea, MA 02777-4502
Mailing address
579 Gar Hwy
Swansea, MA 02777-4502
Phone (774) 488-3685
Other providers in Swansea, MA
- Michele Camara
- Victoria Camara
- Ginger Cameron
- Jenna Carchedi
- Cardi'S Department Store Inc
- Neida Cardoso
- Victoria Ashley Carr
- Michael Daniel Carter
- Jennifer L. Carvalho
- Anthony Castro
All providers in Swansea, MA · Pharmacy Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.