Individual provider Active NPI

Costante John Morasutti, RPH

  • Pharmacist
  • Cheshire, CT
National Provider Identifier
1265936009
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5342 Issued in CT
Practice address
905 S Main St
Cheshire, CT 06410-3418
Phone
(203) 272-3255
Fax
(203) 699-9345
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 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 5342 CT Primary

Addresses

Primary practice location

905 S Main St
Cheshire, CT 06410-3418

Mailing address

905 S Main St
Cheshire, CT 06410-3418
Phone (203) 272-3255

Other identifiers 2

IdentifierTypeStateIssuer
5342OtherCTPHARMACIST LICENSE NUMBER STATE OF CT
5342OtherCTSTATE OF CONNECTICUT DEPARTMENT CONSUMER PROTECTION

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
5342CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1265936009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103418",
            "telephone_number": "203-272-3255",
            "fax_number": "203-699-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103418",
            "telephone_number": "203-272-3255",
            "fax_number": "203-699-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORASUTTI",
        "first_name": "COSTANTE",
        "middle_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER STATE OF CT",
            "identifier": "5342",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT CONSUMER PROTECTION",
            "identifier": "5342",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.