Scott Bourret
Individual provider Active NPI Oncology Pharmacist · North Haven, CT
NPI 1073170478 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1073170478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oncology Pharmacist 1835X0200X
- License
- PCT.0012795 (CT)
- Practice address
- 6 Devine St
North Haven, CT 06473-2195 - Phone
- (203) 287-6222
- NPI assigned
- May 22, 2019
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0012795 | CT | MD | Oncology Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | PCT.0012795 | CT | Yes |
Addresses
Primary practice location
6 Devine St
North Haven, CT 06473-2195
Mailing address
6 Devine St
North Haven, CT 06473-2195
Other providers in North Haven, CT
- Debra Mylinda Bond
- Tania Bonin
- Richard Charles Borecki
- William Bortolotti
- Sierra Boulem
- Bright Horizons Counseling Services LLC
- Broadway Medical Group, LLC
- Bria Bromell Holeman
- Jeremiah Brown
- Nichole Brown
All providers in North Haven, CT · Oncology Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. 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.