Active NPI
Markella Cervenak, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New Haven, CT
National Provider Identifier
1245966423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PCT.0015922
- Practice address
- 55 Park St
New Haven, CT 06511-5474 - Phone
- (203) 873-9447
- NPI assigned
- Jul 28, 2022
- Last updated
- Jul 28, 2022
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PCT.0015922 | PA | Primary |
Addresses
Primary practice location
55 Park St
New Haven, CT 06511-5474
Mailing address
900 Chapel St Apt Rc311
New Haven, CT 06510-2812
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015922 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1245966423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CHAPEL ST APT RC311",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115474",
"telephone_number": "203-873-9447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVENAK",
"first_name": "MARKELLA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "PCT.0015922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
- Central Connecticut Coast Young Men's Christian Association, Inc.
- Nicole Cepeda, LCSW
- Giuliana Cecilia Cerro Chiang, MD
- Joanne Frances Cerrone, DENTAL HYGIENIST
- Rebecca Certoma
- Daniel Cervonka, PA-C, MPAS, CAS
- Julianna Cerza, PMHNP
- Carol Lynn Cestaro, LCSW
- Hilary Cestaro, APRN
- CH Homecare Agency LLC (Christine Henry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.