Active NPI
Marie A Hofman, PHARMD
- Pharmacist
- West Haven, CT
National Provider Identifier
1184951725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20446
- Practice address
- 950 Cambell Avenue
West Haven, CT 06516 - Phone
- (203) 932-5711
- NPI assigned
- Nov 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12997 | NE | |
| Pharmacist | 183500000X | 20446 | IA | Primary |
Addresses
Primary practice location
950 Cambell Avenue
West Haven, CT 06516
Mailing address
1340 Old Clinton Rd
Unit 1
Westbrook, CT 06498-1889
Phone (402) 981-7748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12997 | NE | MD | Mental Health Counselor |
| 20446 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1184951725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 OLD CLINTON RD",
"address_2": "UNIT 1",
"city": "WESTBROOK",
"state": "CT",
"postal_code": "064981889",
"telephone_number": "402-981-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMBELL AVENUE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "203-932-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMAN",
"first_name": "MARIE",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12997",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.