Nicholas Correia, RPH

Individual provider Active NPI Pharmacist · West Hartford, CT

NPI 1497375414 · NPPES record last updated Apr 20, 2020

Key facts

NPI
1497375414
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
9649 (CT)
Practice address
1044 Boulevard
West Hartford, CT 06119-1801
Phone
(860) 236-9348
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut CVS Pharmacy, L.L.C. Past
since Apr 26, 2020
Accepting new patients
Connecticut CVS Pharmacy LLC Past
since Apr 26, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9649 CT Yes

Addresses

Primary practice location

1044 Boulevard
West Hartford, CT 06119-1801

Mailing address

94 Bridle Path Dr
Southington, CT 06489-4046
Phone (617) 645-4339

Other providers in West Hartford, CT

All providers in West Hartford, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.