Individual provider Active NPI

Sharon N Masayda, RPH

  • Pharmacist
  • Hartford, CT
National Provider Identifier
1225513146
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0007555 Issued in CT
Practice address
697 Maple Ave
Hartford, CT 06114-1856
Phone
(860) 969-4400
Fax
(860) 904-2092
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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.0007555 CT Primary

Addresses

Primary practice location

697 Maple Ave
Hartford, CT 06114-1856

Mailing address

697 Maple Ave
Hartford, CT 06114-1856
Phone (860) 969-4400

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0007555CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Pharmacy LLC Current Accepting new patients

Locations

697 Maple Ave
Hartford, CT 06114
Phone (860) 960-5914

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1225513146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141856",
            "telephone_number": "860-969-4400",
            "fax_number": "860-904-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141856",
            "telephone_number": "860-969-4400",
            "fax_number": "860-904-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAYDA",
        "first_name": "SHARON",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0007555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.