Individual provider Active NPI

Cory James Mascalo, RPH

  • Pharmacist
  • Bristol, CT
National Provider Identifier
1114150802
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8770 Issued in CT
Practice address
25 Collins Rd
Bristol, CT 06010-3893
Phone
(860) 589-5587
Fax
(860) 584-8574
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8770 CT Primary

Addresses

Primary practice location

25 Collins Rd
Bristol, CT 06010-3893

Mailing address

25 Collins Rd
Bristol, CT 06010-3893
Phone (860) 589-5587

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Danico Prescriptions Inc. Current Accepting new patients
Danico Prescriptions Inc. Current Accepting new patients

Locations

25 Collins Rd
Bristol, CT 06010
Phone (860) 584-0541

Organizations & group practices 2

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1114150802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLLINS RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103893",
            "telephone_number": "860-589-5587",
            "fax_number": "860-584-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLLINS RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103893",
            "telephone_number": "860-589-5587",
            "fax_number": "860-584-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCALO",
        "first_name": "CORY",
        "middle_name": "JAMES",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "8770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.