Active NPI
James Kilgus, RPH
- Geriatric Pharmacist
- Plainville, CT
National Provider Identifier
1962770933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- PCT 0011259
- Practice address
- 25 Robert Jackson Way
Plainville, CT 06062-2650 - Phone
- (860) 793-2800
- NPI assigned
- Dec 6, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PCT 0011259 | CT | Primary |
Addresses
Primary practice location
25 Robert Jackson Way
Plainville, CT 06062-2650
Mailing address
25 Robert Jackson Way
Plainville, CT 06062-2650
Phone (860) 793-2800
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT 0011259 | CT | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSC Pharmacy Services, Inc. | Past | Accepting new patients | |
| Partners of Connecticut LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- East Windsor, CT
- NPI 1710127469
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1811299290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1962770933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ROBERT JACKSON WAY",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060622650",
"telephone_number": "860-793-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ROBERT JACKSON WAY",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060622650",
"telephone_number": "860-793-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGUS",
"first_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CT",
"license": "PCT 0011259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.