Angela Victoria Berry, PHARMD
Individual provider Active NPI Pharmacist · Stamford, CT
NPI 1104547124 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1104547124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0015694 (CT)
- Practice address
- 969 High Ridge Rd
Stamford, CT 06905-1608 - Phone
- (203) 322-1520
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015694 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0015694 | CT | Yes |
Addresses
Primary practice location
969 High Ridge Rd
Stamford, CT 06905-1608
Mailing address
969 High Ridge Rd
Stamford, CT 06905-1608
Phone (203) 322-1520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015694 | Other | CT | PHARMACIST LICENSE NUMBER |
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.