Amanda Touch, PHARMD

Individual provider Active NPI Pharmacist · Suffield, CT

NPI 1508536707 · NPPES record last updated Sep 17, 2021

Key facts

NPI
1508536707
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PCT.0015559 (CT)
Practice address
163 Mountain Rd
Suffield, CT 06078-2005
Phone
(860) 668-5115
NPI assigned
Sep 17, 2021
Sex
Female
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PCT.0015559CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut CVS Pharmacy, L.L.C. Past
since Sep 23, 2021
Accepting new patients
Connecticut CVS Pharmacy LLC Past
since Sep 23, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0015559 CT Yes

Addresses

Primary practice location

163 Mountain Rd
Suffield, CT 06078-2005

Mailing address

163 Mountain Rd
Suffield, CT 06078-2005
Phone (860) 668-5115

Other providers in Suffield, CT

All providers in Suffield, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.