Healthcare Provider Details

I. General information

NPI: 1144472234
Provider Name (Legal Business Name): PATRICK F CORBETT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 WHALLEY AVE
NEW HAVEN CT
06515-1149
US

IV. Provider business mailing address

1351 WHALLEY AVE
NEW HAVEN CT
06515-1149
US

V. Phone/Fax

Practice location:
  • Phone: 203-745-3823
  • Fax:
Mailing address:
  • Phone: 203-745-3823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0010585
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPCT.0010585
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0010585
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberCT.0010585
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: