Maria Bento
Individual provider Active NPI Pharmacist · Enfield, CT
NPI 1447535455 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1447535455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0009587 (CT)
- Practice address
- 30 Hazard Ave
Enfield, CT 06082-3713 - Phone
- (860) 741-3503
- Fax
- (860) 741-3503
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0009587 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0009587 | CT | Yes |
Addresses
Primary practice location
30 Hazard Ave
Enfield, CT 06082-3713
Mailing address
30 Hazard Ave
Enfield, CT 06082-3713
Phone (860) 741-3503
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 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.