Individual provider Active NPI

Michael Paul Palkimas Jr., PHARM D

  • Pharmacist
  • Rocky Hill, CT
National Provider Identifier
1972533008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10139 Issued in CT
Practice address
200 Cold Spring Rd Apt B411
Rocky Hill, CT 06067-3135
Phone
(508) 277-9418
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10139 CT Primary

Addresses

Primary practice location

200 Cold Spring Rd Apt B411
Rocky Hill, CT 06067-3135

Mailing address

200 Cold Spring Rd Apt B411
Rocky Hill, CT 06067-3135
Phone (508) 277-9418

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
Doctor of Pharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972533008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COLD SPRING RD APT B411",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673135",
            "telephone_number": "508-277-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COLD SPRING RD APT B411",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673135",
            "telephone_number": "508-277-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKIMAS",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "10139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.