Healthcare Provider Details

I. General information

NPI: 1407767809
Provider Name (Legal Business Name): MIGUEL PAXI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 GRAND ST
HARTFORD CT
06106-1541
US

IV. Provider business mailing address

2 SAXTON LN
BROAD BROOK CT
06016-1600
US

V. Phone/Fax

Practice location:
  • Phone: 860-550-7550
  • Fax: 860-550-7508
Mailing address:
  • Phone: 860-550-7550
  • Fax: 860-550-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0009935
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: