Individual provider Active NPI

Anna Bonelli, DOCTOR OF PHARMACY

  • Pharmacist
  • Branford, CT
National Provider Identifier
1134601917
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT0010059 Issued in CT
Practice address
22 Leetes Island Rd
Branford, CT 06405-6514
Phone
(203) 481-3392
NPI assigned
Aug 29, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT0010059 CT Primary

Addresses

Primary practice location

22 Leetes Island Rd
Branford, CT 06405-6514

Mailing address

61 Shaker CT
Guilford, CT 06437-1256
Phone (203) 453-1734

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

LicenseStateTypeSpecialty
PCT0010059CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stop & Shop Supermarket Company LLC Past Accepting new patients
Stop and Shop Supermarket Co 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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1134601917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SHAKER CT",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371256",
            "telephone_number": "203-453-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LEETES ISLAND RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056514",
            "telephone_number": "203-481-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONELLI",
        "first_name": "ANNA",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0010059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.