Beth Bonaiuto, PHARM D

Individual provider Active NPI Geriatric Pharmacist · Rocky Hill, CT

NPI 1053909358 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1053909358
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Pharmacist 1835G0303X
License
8350 (CT)
Practice address
323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone
(860) 563-9393
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
8350CTMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 8350 CT Yes

Addresses

Primary practice location

323 Cromwell Ave
Rocky Hill, CT 06067-1801

Mailing address

323 Cromwell Ave
Rocky Hill, CT 06067-1801

Electronic endpoints

TypeEndpointUseAffiliation
Other URL CVS

Other providers in Rocky Hill, CT

All providers in Rocky Hill, CT · Geriatric Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.