Active NPI
Pearl-Ruth Eben
- Pharmacist
- Enfield, CT
National Provider Identifier
1205517877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0016178
- Practice address
- 54 Hazard Ave
Enfield, CT 06082-3845 - Phone
- (860) 741-2230
- NPI assigned
- Jul 27, 2023
- 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 | PCT.0016178 | CT | Primary |
Addresses
Primary practice location
54 Hazard Ave
Enfield, CT 06082-3845
Mailing address
42 Arnold St Apt 301
Westfield, MA 01085-2872
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.0016178 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1205517877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 ARNOLD ST APT 301",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010852872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823845",
"telephone_number": "860-741-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBEN",
"first_name": "PEARL-RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0016178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
- Gideon Dwomo
- Dynamic Balance Wellness, L.L.C
- E Steven Damon, D.P.M.
- E. Steven Damon, D.P.M.
- Eastern Rehabilitation Network
- Echn Johnson Health Care, Inc.
- Echn Johnson Home and Community Health Service, Inc.
- Echn Johnson Home and Community Health Services, Inc.
- Echn Johnson Home and Community Health Services, Inc.
- Edward H Benjamin MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.