Individual provider Active NPI

Jacob J Ferreira, PHARMD

  • Pharmacist
  • Stamford, CT
National Provider Identifier
1063991131
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0014626 Issued in CT
Practice address
134 Stillwater Ave
Stamford, CT 06902-4839
Phone
(203) 324-0251
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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.0014626 CT Primary

Addresses

Primary practice location

134 Stillwater Ave
Stamford, CT 06902-4839

Mailing address

1830 Pine Hill Rd
North Dighton, MA 02764-1515
Phone (401) 862-9887

Other practice location 1

299 E Center St
Manchester, CT 06040-5211
Phone (401) 862-9887

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

LicenseStateTypeSpecialty
PCT.0014626CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
C & D Pharmacy Services, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1063991131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 PINE HILL RD",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641515",
            "telephone_number": "401-862-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 STILLWATER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024839",
            "telephone_number": "203-324-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 E Center St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060405211",
            "country_code": "US",
            "telephone_number": "401-862-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "JACOB",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0014626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.