Active NPI
Kathleen Golebiewski
- Pharmacist
- Prospect, CT
National Provider Identifier
1194496455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0014872
- Practice address
- 26 Waterbury Rd
Prospect, CT 06712-1215 - Phone
- (203) 758-3316
- NPI assigned
- Sep 25, 2021
- Last updated
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | PCT0014872 | CT | Primary |
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
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0014872 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1194496455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 OLD MUSKET DR",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061113430",
"telephone_number": "860-841-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 WATERBURY RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121215",
"telephone_number": "203-758-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLEBIEWSKI",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-25",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0014872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.