Alyssa Perez
Individual provider Active NPI Pharmacist · East Lyme, CT
NPI 1295516201 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1295516201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0016420 (CT)
- Practice address
- 340 Flanders Rd
East Lyme, CT 06333-1710 - Phone
- (860) 739-9007
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0016420 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0016420 | CT | Yes |
Addresses
Primary practice location
340 Flanders Rd
East Lyme, CT 06333-1710
Mailing address
340 Flanders Rd
East Lyme, CT 06333-1710
Other providers in East Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.