Camille Persaud Sannasi

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PCT0009749 Issued in CT

Practice address

11 Meriden Rd
Waterbury, CT 06705-1933

Phone

(203) 757-1998

NPI assigned

May 5, 2010

Sex

Female

Sole proprietor

Yes

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

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.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1194043828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 AMBER PL",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053067",
            "telephone_number": "203-233-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MERIDEN RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051933",
            "telephone_number": "203-757-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD SANNASI",
        "first_name": "CAMILLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CT",
            "license": "PCT0009749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Louis Perri, DC
• Gianna Perrotti, M.S.W.
• Martin Sinclair Perry, LMSW
• Sharray Perry, LCSW
• Terry Andrew Perry
• James Perugini III
• Lauren Ashley Perugini, APRN
• Kiran Pervez
• Marykate Pestana
• Peter T Labarbera, DPM

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.