Elizabeth Rose Bragaw, RPH, CDM

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT8144 Issued in CT

Practice address

125 Westbrook Rd
Essex, CT 06426-1521

Phone

(860) 767-2181

Fax

(860) 767-3495

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114018496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ATTAWAN AVE",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063573601",
            "telephone_number": "860-739-2364",
            "fax_number": "860-767-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261521",
            "telephone_number": "860-767-2181",
            "fax_number": "860-767-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGAW",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RPH, CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT8144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrios and Silberstein PC
• Michael Vincent Barrios, PH.D.
• Ann Mabry Bates, LCSW
• Megan Kinahan Biggs
• Diana Bonacci, MSW
• Erika P. Brault, MSPT DPT
• Bonnie Brenneman, PT
• Diane Elaine Brouder, LMFT
• Kenneth Robert Burke, MD
• Heather Bushey

• Pharmacist in Essex, CT
• Providers in Essex, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.