Kayleigh Giannini
Individual provider Active NPI Pharmacist · Wolcott, CT
NPI 1164147690 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1164147690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0016028 (CT)
- Practice address
- 744 Wolcott Rd
Wolcott, CT 06716-1906 - Phone
- (203) 879-5853
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 0016028 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Connecticut Inc | Past |
Accepting new patients | |
| Rite Aid of Connecticut Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 0016028 | CT | Yes |
Addresses
Primary practice location
744 Wolcott Rd
Wolcott, CT 06716-1906
Mailing address
453 Jackson St
Thomaston, CT 06787-2016
Phone (203) 343-5666
Other providers in Wolcott, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. 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.