Active NPI
Sandra Picca
- Pharmacist
- Westport, CT
National Provider Identifier
1194354670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0014928
- Practice address
- 397 Post Rd E
Westport, CT 06880-4401 - Phone
- (203) 227-7343
- Fax
- (203) 454-1387
- NPI assigned
- Apr 6, 2020
- Last updated
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
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.0014928 | CT | Primary |
Addresses
Primary practice location
397 Post Rd E
Westport, CT 06880-4401
Mailing address
397 Post Rd E
Westport, CT 06880-4401
Phone (203) 227-7343
Other practice location 1
467 Main St
Ridgefield, CT 06877-4513
Phone (203) 431-8888
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.0014928 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1194354670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 POST RD E",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804401",
"telephone_number": "203-227-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 POST RD E",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804401",
"telephone_number": "203-227-7343",
"fax_number": "203-454-1387"
}
],
"practiceLocations": [
{
"address_1": "467 Main St",
"address_purpose": "LOCATION",
"city": "Ridgefield",
"state": "CT",
"postal_code": "068774513",
"country_code": "US",
"telephone_number": "203-431-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICCA",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.