Healthcare Provider Details

I. General information

NPI: 1306407242
Provider Name (Legal Business Name): ERIN EMONDS SILVESTER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WILLARD AVE
NEWINGTON CT
06111-2631
US

IV. Provider business mailing address

11 WILLOW GREEN WAY
GLASTONBURY CT
06033-2276
US

V. Phone/Fax

Practice location:
  • Phone: 860-666-6951
  • Fax:
Mailing address:
  • Phone: 860-368-9502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPCT.0014422
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: