Active NPI
Israa Ali, PCT
- Pharmacist
- Glastonbury, CT
National Provider Identifier
1124867734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0016565
- Practice address
- 2639 Main St
Glastonbury, CT 06033-2023 - Phone
- (860) 933-5544
- NPI assigned
- May 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0016565 | CT | Primary |
Addresses
Primary practice location
2639 Main St
Glastonbury, CT 06033-2023
Mailing address
53 Wells Ave
East Hartford, CT 06108-2270
Phone (860) 933-5544
Other practice location 1
53 Wells Ave
East Hartford, CT 06108-2270
Phone (860) 933-5544
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 |
|---|---|---|---|
| PCT.0016565 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1124867734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 WELLS AVE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061082270",
"telephone_number": "860-933-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 MAIN ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332023",
"telephone_number": "860-933-5544"
}
],
"practiceLocations": [
{
"address_1": "53 Wells Ave",
"address_purpose": "LOCATION",
"city": "East Hartford",
"state": "CT",
"postal_code": "061082270",
"country_code": "US",
"telephone_number": "860-933-5544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI",
"first_name": "ISRAA",
"credential": "PCT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0016565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.