Individual provider Active NPI

Ray Pantalena, RPH

  • Pharmacist
  • Milford, CT
National Provider Identifier
1245690247
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
CT 5701 Issued in CT
Practice address
78 Broad St
Milford, CT 06460-3353
Phone
(203) 878-2441
NPI assigned
Mar 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X CT 5701 CT Primary

Addresses

Primary practice location

78 Broad St
Milford, CT 06460-3353

Mailing address

188 Bartlett Dr
Madison, CT 06443-8200
Phone (203) 530-8885

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
CT 5701CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health & Wellenss Inc Current Accepting new patients
Howes Drug Current Accepting new patients
Ej Ventures 2 LLC Current Accepting new patients
Totalcare HNS LLC Past Accepting new patients

Locations

78 Broad St
Milford, CT 06460
Phone (203) 713-8101

Organizations & group practices 4

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1245690247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BARTLETT DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064438200",
            "telephone_number": "203-530-8885",
            "fax_number": "203-876-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603353",
            "telephone_number": "203-878-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALENA",
        "first_name": "RAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "CT 5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.