Active NPI
Marianne Carlson, RPH
- Pharmacist
- Danbury, CT
National Provider Identifier
1174877120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5616
- Practice address
- 95 Locust Ave, Suite 100
Walgreens
Danbury, CT 06810 - Phone
- (203) 792-2044
- NPI assigned
- Oct 30, 2012
- Last updated
- Oct 30, 2012
- 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 | 5616 | CT | Primary |
Addresses
Primary practice location
95 Locust Ave, Suite 100
Walgreens
Danbury, CT 06810
Mailing address
15 Black Pine RDG
Ridgefield, CT 06877-1400
Phone (203) 894-1888
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1174877120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BLACK PINE RDG",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068771400",
"telephone_number": "203-894-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 LOCUST AVE, SUITE 100",
"address_2": "WALGREENS",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-792-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MARIANNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "5616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.