Michael Kalwara, PHARMD
Individual provider Active NPI Pharmacist · Vernon Rockville, CT
NPI 1912418245 · NPPES record last updated Oct 13, 2017
Key facts
- NPI
- 1912418245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0014191 (CT)
- Practice address
- 188 Union St
Vernon Rockville, CT 06066-2429 - Phone
- (860) 896-1485
- NPI assigned
- Oct 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0014191 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0014191 | CT | Yes |
Addresses
Primary practice location
188 Union St
Vernon Rockville, CT 06066-2429
Mailing address
148 Eastern Blvd Ste 400
Glastonbury, CT 06033-4321
Phone (860) 657-8014
Other providers in Vernon Rockville, CT
- Lydia Gilkes
- Michael Neil Goldman
- Grace Every Morning Counseling & Behavioral Health LLC
- Mohamed Altaf Hussain
- David C Janton
- Keyes Counseling & Consulting, LLC
- Alyssa M Kirkitelos
- Kaitlin Elizabeth Korngiebel
- David Youmatz Landi
- Cara Leavitt
All providers in Vernon Rockville, CT · Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2017. 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.