Active NPI
Peter Perimenis, PHARMD, RPH
- Pharmacist
- Westport, CT
National Provider Identifier
1215528286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0015251
- Practice address
- 1790 Post Rd E
Westport, CT 06880-5607 - Phone
- (203) 254-9461
- NPI assigned
- Feb 1, 2021
- Sex
- Male
- 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.0015251 | CT | Primary |
Addresses
Primary practice location
1790 Post Rd E
Westport, CT 06880-5607
Mailing address
1790 Post Rd E
Westport, CT 06880-5607
Phone (203) 254-9461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Text |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015251 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Westport, CT
- NPI 1871525733
-
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1215528286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 POST RD E",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805607",
"telephone_number": "203-254-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 POST RD E",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805607",
"telephone_number": "203-254-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIMENIS",
"first_name": "PETER",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015251",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Text",
"affiliation": "N",
"address_1": "1790 Post Rd E",
"city": "Westport",
"state": "CT",
"country_code": "US",
"postal_code": "068805607",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.