Individual provider Active NPI

Jason Carrizzo

  • Pharmacist
  • Meriden, CT
National Provider Identifier
1033705256
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0007978 Issued in CT
Practice address
840 E Main St
Meriden, CT 06450-6008
Phone
(203) 235-6323
Fax
(203) 235-2411
NPI assigned
Dec 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0007978 CT Primary

Addresses

Primary practice location

840 E Main St
Meriden, CT 06450-6008

Mailing address

92 Tower Rd
Brookfield, CT 06804-3651
Phone (203) 240-5214

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
PCT.0007978CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Pharmacy & Surgical, Inc PastSince Dec 16, 2020 Accepting new patients
Hancock Pharmacy & Surgical, Inc PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1033705256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 TOWER RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043651",
            "telephone_number": "203-240-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506008",
            "telephone_number": "203-235-6323",
            "fax_number": "203-235-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIZZO",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0007978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.