Kathleen Golebiewski
Individual provider Active NPI Pharmacist · Prospect, CT
NPI 1194496455 · NPPES record last updated Nov 30, 2024
Key facts
- NPI
- 1194496455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT0014872 (CT)
- Practice address
- 26 Waterbury Rd
Prospect, CT 06712-1215 - Phone
- (203) 758-3316
- NPI assigned
- Sep 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PCT0014872 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT0014872 | CT | Yes |
Addresses
Primary practice location
26 Waterbury Rd
Prospect, CT 06712-1215
Mailing address
91 Old Musket Dr
Newington, CT 06111-3430
Phone (860) 841-9928
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2024. 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.