Jennifer Proudman Burke, RPH
Individual provider Active NPI Pharmacist · Winsted, CT
NPI 1306138987 · NPPES record last updated May 13, 2011
Key facts
- NPI
- 1306138987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7976 (CT)
- Practice address
- 200 New Hartford Rd
Box 10
Winsted, CT 06098-3373 - Phone
- (860) 379-5436
- Fax
- (860) 379-1971
- NPI assigned
- May 13, 2011
- Sex
- Female
- 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
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7976 | CT | Yes |
Addresses
Primary practice location
200 New Hartford Rd
Box 10
Winsted, CT 06098-3373
Mailing address
200 New Hartford Rd
Box 10
Winsted, CT 06098-3373
Phone (860) 379-5436
Other providers in Winsted, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2011. 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.