Provider Demographics
NPI:1942579495
Name:ESSENTER, BRIAN (RPH)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:ESSENTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 FAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1832
Mailing Address - Country:US
Mailing Address - Phone:203-383-0864
Mailing Address - Fax:
Practice Address - Street 1:256 FAN HILL RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1832
Practice Address - Country:US
Practice Address - Phone:203-383-0864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist