Anna Gavel, PHARMD
Individual provider Active NPI Pharmacist · Granby, CT
NPI 1215568183 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1215568183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0015018 (CT)
- Practice address
- 20 Bank St
Granby, CT 06035-2301 - Phone
- (806) 653-4221
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015018 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0015018 | CT | Yes |
Addresses
Primary practice location
20 Bank St
Granby, CT 06035-2301
Mailing address
20 Bank St
Granby, CT 06035-2301
Other providers in Granby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. 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.