Mr Johannes Kee Gunawan, RPH is a
Pharmacist based in Norwalk, Tennessee. Mr Johannes Kee Gunawan is licensed to practice in Connecticut (license number 8699) and his current practice location is
680 Connecticut Ave, Norwalk, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(203) 854-8519.
NPI number for Mr Johannes Kee Gunawan is 1003097320 and his current mailing address is 39 Monroe Street Apartment # 1, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003097320.
Healthcare Provider's Profile
| Full Name | Mr Johannes Kee Gunawan |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 680 Connecticut Ave, Norwalk, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003097320
- Provider Enumeration Date: 11/15/2007
- Last Update Date: 11/15/2007
Medical Identifiers
Medical identifiers for Mr Johannes Kee Gunawan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003097320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 8699 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Johannes Kee Gunawan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Johannes Kee Gunawan, RPH
39 Monroe Street Apartment # 1,
New York, NY 10002
Ph: (917) 324-7337 | Mr Johannes Kee Gunawan, RPH
680 Connecticut Ave,
Norwalk, TN 06854
Ph: (203) 854-8519 |
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