NPIMap

Individual provider Active NPI

Douglas B Jones, RPH

  • Pharmacist
  • Granby, CT
National Provider Identifier
1043746431
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7995 Issued in CT
Practice address
120 Salmon Brook St
Granby, CT 06035-2604
Phone
(860) 844-8346
Fax
(860) 653-3210
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 7995 CT Primary

Addresses

Primary practice location

120 Salmon Brook St
Granby, CT 06035-2604

Mailing address

120 Salmon Brook St
Granby, CT 06035-2604
Phone (860) 844-8346

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

LicenseStateTypeSpecialty
7995CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stop & Shop Supermarket Company LLC Past Accepting new patients
Stop and Shop Supermarket Co LLC Past 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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1043746431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SALMON BROOK ST",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352604",
            "telephone_number": "860-844-8346",
            "fax_number": "860-653-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SALMON BROOK ST",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352604",
            "telephone_number": "860-844-8346",
            "fax_number": "860-653-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "7995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.