Kevin Patrick Charron, PHARMD
Individual provider Active NPI Pharmacist · East Hampton, CT
NPI 1508217688 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1508217688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0013762 (CT)
- Practice address
- 25 E High St
East Hampton, CT 06424-1087 - Phone
- (860) 267-0732
- NPI assigned
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.0013762 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0013762 | CT | Yes |
Addresses
Primary practice location
25 E High St
East Hampton, CT 06424-1087
Mailing address
220 Alexander Dr
Colchester, CT 06415-1461
Phone (860) 949-6928
Other providers in East Hampton, CT
- M. Patricia Burke
- Patrick Burke
- Grace Capozzelli
- Domenic William Casablanca
- Normajean Cefarelli
- Chataham Dental Care LLC
- Chatham Dental Center LLC
- Chatham Health District
- Maureen Erin Coleman
- Compass Rose Physical Therapy PLLC
All providers in East Hampton, 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 Jun 29, 2016. 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.