Christine Sara Manzi, RPH

Individual provider Active NPI Pharmacist · New Hartford, CT

NPI 1275223448 · NPPES record last updated May 11, 2023

Key facts

NPI
1275223448
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
008784 (CT)
Practice address
4 Bridge St
New Hartford, CT 06057-2120
Phone
(860) 469-5400
Fax
(860) 238-7881
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
008784CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Petricone'S Apothecary Current
since May 14, 2023
Accepting new patients
Petricone'S Apothecary Current
since Sep 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 008784 CT Yes

Addresses

Primary practice location

4 Bridge St
New Hartford, CT 06057-2120

Mailing address

4 Bridge St
New Hartford, CT 06057-2120
Phone (860) 469-5400

Other providers in New Hartford, CT

All providers in New Hartford, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.