Active NPI
Mark Price, R.PH.
- Pharmacist
- Niantic, CT
National Provider Identifier
1023478500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0006985
- Practice address
- 58 Pennsylvania Ave
Niantic, CT 06357-7000 - Phone
- (860) 691-0380
- Fax
- (860) 691-0685
- NPI assigned
- Feb 26, 2016
- Last updated
- Mar 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT0006985 | CT | Primary |
Addresses
Primary practice location
58 Pennsylvania Ave
Niantic, CT 06357-7000
Mailing address
58 Pennsylvania Ave
Niantic, CT 06357-7000
Phone (860) 691-0380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0006985 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1023478500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PENNSYLVANIA AVE",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063577000",
"telephone_number": "860-691-0380",
"fax_number": "860-691-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PENNSYLVANIA AVE",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063577000",
"telephone_number": "860-691-0380",
"fax_number": "860-691-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "MARK",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-26",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0006985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.