Tessa Alexandra Amato, PHARMD, RPH

Individual provider Active NPI Pharmacist · Old Saybrook, CT

NPI 1871373159 · NPPES record last updated Jan 21, 2024

Key facts

NPI
1871373159
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PCT.0016390 (CT)
Practice address
519 Boston Post Rd
Old Saybrook, CT 06475-1526
Phone
(860) 388-1045
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
Yes

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0016390CTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0016390 CT Yes

Addresses

Primary practice location

519 Boston Post Rd
Old Saybrook, CT 06475-1526

Mailing address

519 Boston Post Rd
Old Saybrook, CT 06475-1526
Phone (860) 388-1045

Other providers in Old Saybrook, CT

All providers in Old Saybrook, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.