Denis Patrick Austin, RPH
Individual provider Active NPI Pharmacist · Stamford, CT
NPI 1093087264 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1093087264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11198 (CT)
- Practice address
- 21 Broad St
T1544
Stamford, CT 06901-2309 - Phone
- (203) 388-0038
- NPI assigned
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11198 | CT | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11198 | CT | Yes |
Addresses
Primary practice location
21 Broad St
T1544
Stamford, CT 06901-2309
Mailing address
21 Broad St
T1544
Stamford, CT 06901-2309
Phone (203) 388-0038
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004246840 | Medicaid | CT |
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2012. 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.