Keri Lynn Egan

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0010589 Issued in CT

Practice address

71 Palomba Dr
Enfield, CT 06082-3801

Phone

(860) 749-4184

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1235875865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823801",
            "telephone_number": "860-749-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Talcottville Rd",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060662311",
            "country_code": "US",
            "telephone_number": "860-871-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.001589",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0010589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echn Johnson Home and Community Health Services, Inc.
• Echn Johnson Home and Community Health Services, Inc.
• Edward H Benjamin MD PC
• Alexsis L Edwards
• Joshua Michael Edwards, PHD, LPC, LMHC, NCC
• Elizabeth Honey LMFT LLC
• Brooke Juliette Ellis, OTD, OTR/L
• Scott Elms, PT
• Eman Elsayed
• Emily Chiropractic Inc

• Pharmacist in Enfield, CT
• Providers in Enfield, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.