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NPI 1386407500ActiveIndividual· Pharmacist, Compounded Sterile Preparations· West Haven, CT

Pharmacist, Compounded Sterile Preparations in West Haven, Connecticut, licensed in CT, with an NPI issued in January 2024.

Overview

NPI1386407500
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJan 31, 2024
Last updated in NPPESJan 31, 2024
Certified by providerJan 31, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist, Compounded Sterile Preparations Primary1835C0207XPCT.0016120CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years