Greg Denalsky
Individual provider Active NPI Pharmacist · Granby, CT
NPI 1285085993 · NPPES record last updated Jun 23, 2016
Key facts
- NPI
- 1285085993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8555 (CT)
- Practice address
- 20 Bank Street
Granby, CT 06035 - Phone
- (860) 653-4221
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 8555 | CT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8555 | CT | Yes |
Addresses
Primary practice location
20 Bank Street
Granby, CT 06035
Mailing address
20 Bank Street
Granby, CT 06035
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 Jun 23, 2016. 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.