Active NPI
Cheri McKenna
- Pharmacist
- East Hampton, CT
National Provider Identifier
1043673569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10579
- Practice address
- 54 E High St
East Hampton, CT 06424-1052 - Phone
- (860) 267-6853
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10579 | CT | Primary |
Addresses
Primary practice location
54 E High St
East Hampton, CT 06424-1052
Mailing address
5 Banning Rd
East Haddam, CT 06423-1702
Phone (203) 980-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10579 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1043673569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BANNING RD",
"city": "EAST HADDAM",
"state": "CT",
"postal_code": "064231702",
"telephone_number": "203-980-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 E HIGH ST",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241052",
"telephone_number": "860-267-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "CHERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "10579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hampton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.