MEDICARE: DR. GREGG KIRKMAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0011683	CT

General Provider Information

NPI Number	:	1811362338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGG KIRKMAN PHARMD

Provider Business Mailing Address
First Line	:	190 WESTON RD
Second Line	:
City	:	WESTON
State	:	CT
Zip	:	06883-2126
Country	:	US
Telephone Number	:	203-557-6310
Fax Number	:	203-557-9700

Provider Business Practice Location Address
First Line	:	190 WESTON RD
Second Line	:
City	:	WESTON
State	:	CT
Zip	:	06883-2126
Country	:	US
Telephone Number	:	203-557-6310
Fax Number	:	203-557-9700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	10/31/2025

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