Active NPI
Kaitlyn Tebo
- Pharmacy Technician
- Putnam, CT
National Provider Identifier
1982559647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30315335
- Practice address
- 320 Pomfret St
Putnam, CT 06260-1869 - Phone
- (860) 928-6541
- NPI assigned
- Feb 27, 2026
- Last updated
- Feb 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30315335 | CT | Primary |
Addresses
Primary practice location
320 Pomfret St
Putnam, CT 06260-1869
Mailing address
46 First St
North Grosvenordale, CT 06255-1619
Other names 1
- Kaitlyn Fazzina
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30315335 | CT | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1982559647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 FIRST ST",
"city": "NORTH GROSVENORDALE",
"state": "CT",
"postal_code": "062551619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601869",
"telephone_number": "860-928-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEBO",
"first_name": "KAITLYN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CT",
"license": "30315335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "FAZZINA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.