Individual provider Active NPI

Necmiye Eser Ercil

  • Pharmacist
  • Groton, CT
National Provider Identifier
1033625520
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0012506 Issued in CT
Practice address
150 Gold Star Hwy
Groton, CT 06340-3442
Phone
(860) 449-6902
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0012506 CT Primary

Addresses

Primary practice location

150 Gold Star Hwy
Groton, CT 06340-3442

Mailing address

47 Woodward Ave
New Haven, CT 06512-3629
Phone (858) 353-0571

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

State licenses

LicenseStateTypeSpecialty
0012506CTMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1033625520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WOODWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065123629",
            "telephone_number": "858-353-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403442",
            "telephone_number": "860-449-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCIL",
        "first_name": "NECMIYE",
        "middle_name": "ESER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0012506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.