Amina Ayub
Individual provider Active NPI Pharmacist · Newington, CT
NPI 1023391125 · NPPES record last updated Sep 25, 2011
Key facts
- NPI
- 1023391125
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0009194 (CT)
- Practice address
- 2920 Berlin Tpke
Newington, CT 06111-4116 - Phone
- (860) 667-0461
- Fax
- (860) 667-2791
- NPI assigned
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 0009194 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0009194 | CT | Yes |
Addresses
Primary practice location
2920 Berlin Tpke
Newington, CT 06111-4116
Mailing address
509 Cypress Rd
Newington, CT 06111-5625
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2011. 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.