Active NPI
Gayle Kissinger
- Pharmacist
- Mystic, CT
National Provider Identifier
1073974762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0008599
- Practice address
- 10 Clara Dr
Mystic, CT 06355-1957 - Phone
- (860) 536-4606
- Fax
- (860) 536-9629
- NPI assigned
- Mar 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0008599 | CT | Primary |
| Pharmacist | 183500000X | RPH03856 | RI |
Addresses
Primary practice location
10 Clara Dr
Mystic, CT 06355-1957
Mailing address
10 Clara Dr
Mystic, CT 06355-1957
Phone (860) 536-4606
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 |
|---|---|---|---|
| 0008599 | CT | MD | Pharmacist |
| RPH03856 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1073974762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CLARA DR",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551957",
"telephone_number": "860-536-4606",
"fax_number": "860-536-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CLARA DR",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551957",
"telephone_number": "860-536-4606",
"fax_number": "860-536-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSINGER",
"first_name": "GAYLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0008599",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH03856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.