Active NPI
Babak Atighechi, PHARMACIST
- Pharmacist
- Berlin, CT
National Provider Identifier
1093980435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8410
- Practice address
- 207 Webster Square Road
Berlin, CT 06037-0000 - Phone
- (860) 828-7511
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 8410 | CT | Primary |
Addresses
Primary practice location
207 Webster Square Road
Berlin, CT 06037-0000
Mailing address
22 Natchaug Dr
Glastonbury, CT 06033-1914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1093980435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 NATCHAUG DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 WEBSTER SQUARE ROAD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060370000",
"telephone_number": "860-828-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIGHECHI",
"first_name": "BABAK",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "8410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.