Gregory McKenna

Primary specialty

PharmacistTaxonomy code 183500000X

License

5926 Issued in CT

Practice address

23 Killingworth Rd
Box 540
Higganum, CT 06441-4242

Phone

(860) 345-3607

Fax

(860) 345-3611

NPI assigned

Dec 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1295100055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064410540",
            "telephone_number": "860-345-3607",
            "fax_number": "860-345-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KILLINGWORTH RD",
            "address_2": "BOX 540",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414242",
            "telephone_number": "860-345-3607",
            "fax_number": "860-345-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanna Lehtinen Oboma
• Lauren Elizabeth Linn, PH.D.
• Walter E. Martin, M.D.
• Jessica McAllister, PHARMD
• Robert Emmett McCarthy, M.D.
• Shelby Meadows, RN, IBCLC
• Richard Olson, RPH
• Polish Caregivers LLC
• Ptsma, Inc. (Select Physical Therapy)
• Regional School District 17

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.