Brenden Quilty, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0014625 Issued in CT

Practice address

720 Branchville Rd
Ridgefield, CT 06877-6121

Phone

(203) 544-7094

NPI assigned

Aug 31, 2018

Sex

Male

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

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Ridgefield, CT
  • NPI 1083026306
  NPD (past)
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)

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": []
}

• 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.

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

• 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.

Verify at the official NPI Registry.