Jason Morais Atilho

Individual provider Active NPI Pharmacy Technician · Northford, CT

NPI 1215696281 · NPPES record last updated Dec 16, 2021

Key facts

NPI
1215696281
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
Practice address
1395 Middletown Ave
Northford, CT 06472-1395
Phone
(203) 484-0431
Fax
(203) 484-2963
NPI assigned
Dec 16, 2021
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug Inc Past
since Dec 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CT Yes

Addresses

Primary practice location

1395 Middletown Ave
Northford, CT 06472-1395

Mailing address

123 Oldfield Rd
Trumbull, CT 06611-3357
Phone (203) 209-0211

Other providers in Northford, CT

All providers in Northford, CT · Pharmacy Technician in Connecticut

Sources for this page

Verify at the official NPI Registry.