Individual provider Active NPI

Peter Perimenis, PHARMD, RPH

  • Pharmacist
  • Westport, CT
National Provider Identifier
1215528286
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0015251 Issued in CT
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

Updated by the provider on Feb 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PCT.0015251CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stop & Shop Supermarket Company LLC PastSince Feb 7, 2021 Accepting new patients
Stop and Shop Supermarket Co LLC PastSince Feb 7, 2021 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.

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.

Verify at the official NPI Registry.