Active NPI
Amanda Merturi, PHARMD
- Pharmacist
- Waterbury, CT
National Provider Identifier
1053032540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0015986
- Practice address
- 64 Robbins St
Waterbury, CT 06708-2600 - Phone
- (203) 573-6000
- NPI assigned
- Sep 5, 2022
- Last updated
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 | PCT.0015986 | CT | Primary |
Addresses
Primary practice location
64 Robbins St
Waterbury, CT 06708-2600
Mailing address
865 Mix Ave Apt 316
Hamden, CT 06514-2118
Phone (586) 651-6798
Other practice location 1
2335 Dixwell Ave
Hamden, CT 06514-2100
Phone (203) 248-9631
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda.merturi@wtbyhosp.org | Direct |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015986 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1053032540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 MIX AVE APT 316",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142118",
"telephone_number": "586-651-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082600",
"telephone_number": "203-573-6000"
}
],
"practiceLocations": [
{
"address_1": "2335 Dixwell Ave",
"address_purpose": "LOCATION",
"city": "Hamden",
"state": "CT",
"postal_code": "065142100",
"country_code": "US",
"telephone_number": "203-248-9631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERTURI",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015986",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda.merturi@wtbyhosp.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "64 Robbins St",
"city": "Waterbury",
"state": "CT",
"country_code": "US",
"postal_code": "067082600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.