Active NPI
Susan Montuori
- Pharmacist
- Bethel, CT
National Provider Identifier
1124472980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7658
- Practice address
- 7 Durant Ave
Bethel, CT 06801-1906 - Phone
- (203) 794-9500
- Fax
- (203) 795-1005
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7658 | CT | Primary |
| Pharmacist | 183500000X | PS29080 | FL |
Addresses
Primary practice location
7 Durant Ave
Bethel, CT 06801-1906
Mailing address
7 Durant Ave
Bethel, CT 06801-1906
Phone (203) 794-9500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7658 | CT | MD | Pharmacist |
| PS29080 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1124472980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DURANT AVE",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011906",
"telephone_number": "203-794-9500",
"fax_number": "203-795-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DURANT AVE",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011906",
"telephone_number": "203-794-9500",
"fax_number": "203-795-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTUORI",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "7658",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.