Active NPI
Kayla Carlson, RPH
- Pharmacist
- Madison, CT
National Provider Identifier
1083383103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15342
- Practice address
- 613 Boston Post Rd
Madison, CT 06443-3059 - Phone
- (203) 245-3165
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 15342 | CT | Primary |
Addresses
Primary practice location
613 Boston Post Rd
Madison, CT 06443-3059
Mailing address
223 Washington St Apt 2
Wallingford, CT 06492-2323
Phone (508) 818-0538
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15342 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1083383103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 WASHINGTON ST APT 2",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922323",
"telephone_number": "508-818-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 BOSTON POST RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064433059",
"telephone_number": "203-245-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KAYLA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "15342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.