Healthcare Provider Details

I. General information

NPI: 1467373571
Provider Name (Legal Business Name): NICOLE F BASSETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 CORBIN AVE
NEW BRITAIN CT
06053-2298
US

IV. Provider business mailing address

2150 CORBIN AVE
NEW BRITAIN CT
06053-2298
US

V. Phone/Fax

Practice location:
  • Phone: 860-515-1179
  • Fax: 860-827-4779
Mailing address:
  • Phone: 860-515-1179
  • Fax: 860-827-4779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9098
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: