Nicolas Bern Moyaux, RPH
Individual provider Active NPI Pharmacist · Seymour, CT
NPI 1336833201 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1336833201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0015972 (CT)
- Practice address
- 144 Bank St
Seymour, CT 06483-2721 - Phone
- (203) 881-9999
- NPI assigned
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015972 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
144 Bank St
Seymour, CT 06483
Phone (203) 881-9999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0015972 | CT | Yes |
Addresses
Primary practice location
144 Bank St
Seymour, CT 06483-2721
Mailing address
136 Jacqueline Dr
Southbury, CT 06488-2352
Phone (203) 707-6977
Other providers in Seymour, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. 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.