BRIAN BROUSSEAU (NPI# 1962994426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962994426 |
| Entity Type | Individual |
| Full Name | BRIAN BROUSSEAU |
| Credential | RPH |
| Practice Address |
469 Migeon Ave Torrington CT 06790-4643 |
| Mailing Address |
5 Cove Hill Rd Niantic CT 06357-1958 |
| Practice Telephone | 8889081091 |
| Mailing Telephone | 8054100066 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0005762 | CT | Pharmacy Service Providers |
| Street Address |
469 MIGEON AVE |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430193 | John C Mcdonagh | Emergency Medicine | 469 Migeon Ave, Torrington, CT 06790-4643 | 2005-07-13 |
| 1649870809 | Nicole Collin | Social Worker | 469 Migeon Ave, Torrington, CT 06790-4643 | 2020-10-27 |
| 1568075539 | Tiffany Lee | Nurse Practitioner | 469 Migeon Ave, Torrington, CT 06790-4643 | 2020-08-28 |
| 1497371751 | Nancy Christiano | Registered Nurse | 469 Migeon Ave, Torrington, CT 06790-4643 | 2020-06-23 |
| 1518517200 | Shannon Marie Mcgrane | Social Worker | 469 Migeon Ave, Torrington, CT 06790-4643 | 2019-09-16 |
| 1902458359 | Jaclyn Elizabeth Alessio | Social Worker | 469 Migeon Ave, Torrington, CT 06790-4643 | 2019-07-15 |
| 1861957896 | Martha Jean Boyer | Social Worker | 469 Migeon Ave, Torrington, CT 06790-4643 | 2019-02-04 |
| 1780157644 | Shaleah Louise Small | Dental Hygienist | 469 Migeon Ave, Torrington, CT 06790-4643 | 2019-01-03 |
| 1114422391 | Community Health Rx Inc | Pharmacy | 469 Migeon Ave, Torrington, CT 06790-4643 | 2018-03-28 |
| 1720501653 | Yu-hui Lee | Internal Medicine | 469 Migeon Ave, Torrington, CT 06790-4643 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1982036398 | Daniel Marra Vaughan | Pharmacist | 100 Felicity Ln, Torrington, CT 06790-6101 | 2013-08-07 |
| 1427349398 | Marie M Pham | Pharmacist | 92 Willow St, Torrington, CT 06790-5501 | 2011-04-27 |
| 1407067812 | Christine Ann Altemus | Pharmacist | 394 Trailsend Dr, Torrington, CT 06790-2246 | 2007-05-25 |
| 1104907203 | Sheila Ann Mcwaters | Pharmacist | 2401 Main St, Torrington, WY 82240-2321 | 2006-10-17 |
| 1457993685 | Rebecca Bush | Pharmacist | 211 High St, Torrington, CT 06790-6301 | 2019-10-09 |
| 1154972115 | Brandon Alexander Mendes | Pharmacist | 1745 E Main St, Torrington, CT 06790-3520 | 2019-09-21 |
| 1659931616 | Thomas Ewald | Pharmacist | 900 W Valley Rd, Torrington, WY 82240-3232 | 2019-06-20 |
| 1629632351 | Robert Nowobilski | Pharmacist | 504 Winsted Rd, Torrington, CT 06790-2963 | 2019-04-29 |
| 1811471634 | John Walter | Pharmacist | 900 W Valley Rd, Torrington, WY 82240-3232 | 2018-09-18 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
Please comment or provide details below to improve the information on BRIAN BROUSSEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.