Ana Maria Lopes Kiernan
Individual provider Active NPI Pharmacist · Seymour, CT
NPI 1770079899 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1770079899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0009774 (CT)
- Practice address
- 15 Franklin St
Seymour, CT 06483-2809 - Phone
- (203) 881-2756
- Fax
- (203) 881-0149
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0009774 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company, LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0009774 | CT | Yes |
Addresses
Primary practice location
15 Franklin St
Seymour, CT 06483-2809
Mailing address
15 Franklin St
Seymour, CT 06483-2809
Phone (203) 881-2756
Other providers in Seymour, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. 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.