Active NPI
Kathleen Kwan, PHARMACIST
- Pharmacist
- Watertown, CT
National Provider Identifier
1760774657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9061
- Practice address
- 620 Main St
Watertown, CT 06795-2614 - Phone
- (860) 274-7559
- NPI assigned
- May 10, 2011
- 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 | 9061 | CT | Primary |
Addresses
Primary practice location
620 Main St
Watertown, CT 06795-2614
Mailing address
620 Main St
Watertown, CT 06795-2614
Phone (860) 274-7559
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1760774657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 MAIN ST",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952614",
"telephone_number": "860-274-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MAIN ST",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952614",
"telephone_number": "860-274-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "KATHLEEN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "9061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.