Active NPI
Brenden Quilty, PHARMD, RPH
- Pharmacist
- Ridgefield, CT
National Provider Identifier
1124500673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0014625
- Practice address
- 720 Branchville Rd
Ridgefield, CT 06877-6121 - Phone
- (203) 544-7094
- NPI assigned
- Aug 31, 2018
- Last updated
- Aug 31, 2018
- Sex
- Male
- Sole proprietor
- No
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 | PCT.0014625 | CT | Primary |
Addresses
Primary practice location
720 Branchville Rd
Ridgefield, CT 06877-6121
Mailing address
100 Commons Park N Apt 703
Stamford, CT 06902-7161
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0014625 | 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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1124500673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMONS PARK N APT 703",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069027161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 BRANCHVILLE RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068776121",
"telephone_number": "203-544-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILTY",
"first_name": "BRENDEN",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Professional Therapy Contracting Services of CT, LLC
- Robin Prokopczyk, OTR/L
- Betsy A Pulick, D.C.
- Sandra Raff, MD
- Megan W Rajbanshi, LCSW
- Randall G Baldwin DMD PC
- Robin Lynn Raposa, PT
- Randall P. Raymond, PH.D., L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.