Antonia Grace Alquist, PHARMD
Individual provider Active NPI Pharmacist · Southington, CT
NPI 1386369593 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1386369593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0015558 (CT)
- Practice address
- 326 Main St
Southington, CT 06489-2508 - Phone
- (860) 621-1996
- NPI assigned
- Oct 10, 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015558 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0015558 | CT | Yes |
Addresses
Primary practice location
326 Main St
Southington, CT 06489-2508
Mailing address
239 Auburn Rd
West Hartford, CT 06119-1179
Other providers in Southington, CT
- Alexandra L Albino
- Setareh Alipourfetrati
- Jack Alkon
- Ahmad M. Almai
- Dina Debarros Almeida-McGlotten
- Sarah Alston
- Dionna Altayr
- Rover Ivan Abeleda Alzona I
- Amy M Anderson
- Andrew DL Guest MD PC
All providers in Southington, CT · Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 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.