Tomefa Asempa, PHARMD

Individual provider Active NPI Pharmacist · Southington, CT

NPI 1295487577 · NPPES record last updated Jan 19, 2022

Key facts

NPI
1295487577
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0014040 (CT)
Practice address
326 Main St
Southington, CT 06489-2508
Phone
(860) 621-1996
NPI assigned
Jan 19, 2022
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0014040CTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0014040 CT Yes

Addresses

Primary practice location

326 Main St
Southington, CT 06489-2508

Mailing address

91 Elm St Apt 306a
Manchester, CT 06040-8606

Other providers in Southington, CT

All providers in Southington, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.