Kenneth George Amann, R.PH.

Individual provider Active NPI Pharmacist · Naugatuck, CT

NPI 1124144480 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124144480
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6972 (CT)
Practice address
799 New Haven Rd
Naugatuck, CT 06770-4762
Phone
(203) 723-1876
Fax
(203) 723-1092
NPI assigned
Mar 21, 2007
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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
6972CTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6972 CT Yes

Addresses

Primary practice location

799 New Haven Rd
Naugatuck, CT 06770-4762

Mailing address

381 Westland Ave
Cheshire, CT 06410-3180
Phone (203) 271-1686

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124144480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 WESTLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103180",
            "telephone_number": "203-271-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 NEW HAVEN RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704762",
            "telephone_number": "203-723-1876",
            "fax_number": "203-723-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANN",
        "first_name": "KENNETH",
        "middle_name": "GEORGE",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "6972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

All providers in Naugatuck, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.