Kelly Schiesl
Individual provider Active NPI Pharmacist · Granby, CT
NPI 1356089593 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1356089593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8927 (CT)
- Practice address
- 217 Salmon Brook St
Granby, CT 06035-2406 - Phone
- (860) 690-4074
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 8927 | CT | MD | Pharmacist |
| 26173 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26173 | MA | |
| Pharmacist | 183500000X | 8927 | CT | Yes |
Addresses
Primary practice location
217 Salmon Brook St
Granby, CT 06035-2406
Mailing address
300 Cooley St
Springfield, MA 01128-1801
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 May 26, 2022. 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.