Active NPI
Regina Yawson
- Pharmacist
- Windsor, CT
National Provider Identifier
1750911939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0014917
- Practice address
- 219 Broad St
Windsor, CT 06095-2904 - Phone
- (860) 298-5925
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0014917 | CT | Primary |
Addresses
Primary practice location
219 Broad St
Windsor, CT 06095-2904
Mailing address
80 Hanover St Apt 1002
Meriden, CT 06451-5537
Phone (508) 762-8925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014917 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1750911939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HANOVER ST APT 1002",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064515537",
"telephone_number": "508-762-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BROAD ST",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952904",
"telephone_number": "860-298-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAWSON",
"first_name": "REGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0014917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.