Healthcare Provider Details

I. General information

NPI: 1720590250
Provider Name (Legal Business Name): KAREN ELIZABETH SEMPERTEGUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ROONES

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 E PUTNAM AVE
RIVERSIDE CT
06878-1522
US

IV. Provider business mailing address

182 SKYVIEW DR
STAMFORD CT
06902-1525
US

V. Phone/Fax

Practice location:
  • Phone: 203-698-4006
  • Fax:
Mailing address:
  • Phone: 203-667-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0013832
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: