LATTANA TINA KETTAVONG PHARMD
NPI 1245998996
Pharmacist in Clinton, CT

Active since November 30, 2021
218 E MAIN ST, CLINTON, CT 06413(860) 664-4641(860) 664-1632 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lattana Tina Kettavong Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATTANA TINA KETTAVONG PHARMD (NPI 1245998996) is an individual pharmacist in Clinton, Connecticut, licensed in Connecticut (PCT.0015656) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1245998996
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameLATTANA TINA KETTAVONGCredential: PHARMD
Location Address218 E MAIN STClinton, CT 06413-2230
Mailing Address92 Stonegate RdNew Britain, CT 06053-2649 · (860) 830-2122
Fax(860) 664-1632
Sole ProprietorNo
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1245998996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CT · PCT.0015656
Definition
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.
218 E MAIN ST, Clinton, CT 06413

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
218 E MAIN ST
CLINTON, CT 06413
Pharmacist
218 E MAIN ST
CLINTON, CT 06413
Pharmacy
218 E MAIN ST
CLINTON, CT 06413
Pharmacist
218 E MAIN ST
CLINTON, CT 06413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lattana Kettavong's NPI number?

The NPI number for Lattana Kettavong is 1245998996. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Lattana Kettavong located?

Lattana Kettavong practices at 218 E Main St, Clinton, CT 06413. The listed phone number is (860) 664-4641.

What is Lattana Kettavong's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lattana Kettavong was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.