Wendy Elizabeth Mikolinski, PHARMD
Individual provider Active NPI Pharmacist · Salem, CT
NPI 1942593041 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1942593041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0009536 (CT)
- Practice address
- 24 Hartford Rd Ste 11
Salem, CT 06420-3839 - Phone
- (860) 949-8624
- NPI assigned
- May 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0009536 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Pharmacy LLC | Current | Accepting new patients | |
| Salem Pharmacy LLC | Current | Accepting new patients |
Locations
24 Hartford Rd
Ste 11
Salem, CT 06420
Phone (860) 949-8624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0009536 | CT | Yes |
Addresses
Primary practice location
24 Hartford Rd Ste 11
Salem, CT 06420-3839
Mailing address
500 West Rd
Salem, CT 06420-3531
Phone (860) 885-1492
Other providers in Salem, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2013. 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.