Active NPI
Christine Egan
- Pharmacist
- Coventry, CT
National Provider Identifier
1376904789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT 0010572
- Practice address
- 3514 Main St
Coventry, CT 06238-1551 - Phone
- (860) 742-3543
- Fax
- (860) 742-3548
- NPI assigned
- Mar 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT 0010572 | CT | Primary |
Addresses
Primary practice location
3514 Main St
Coventry, CT 06238-1551
Mailing address
103 Cliffside Dr Unit C
Manchester, CT 06042-3464
Phone (860) 798-0945
Other names 1
- Christine Burbank
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT 0010572 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1376904789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CLIFFSIDE DR UNIT C",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423464",
"telephone_number": "860-798-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3514 MAIN ST",
"city": "COVENTRY",
"state": "CT",
"postal_code": "062381551",
"telephone_number": "860-742-3543",
"fax_number": "860-742-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT 0010572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "BURBANK",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Coventry, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.