Janice C Flynn

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0006175 Issued in CT

Practice address

79 Stonington Rd
Mystic, CT 06355-2931

Phone

(860) 536-5835

Fax

(860) 536-5837

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Big Y Foods, Inc

  • Community/Retail Pharmacy
  • Mystic, CT
  • NPI 1700194867
  NPD (past)

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1306356191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUND BREEZE AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063408846",
            "telephone_number": "413-627-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 STONINGTON RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552931",
            "telephone_number": "860-536-5835",
            "fax_number": "860-536-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JANICE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH19257",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57124",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0006175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Felicelli, PA-C
• Michael J Feltes, M.D.
• Warren Lewis Fields, M.D.
• Kelsey Lee Finn, DO
• Dennis F Flanagan, DDS
• Focus Physical Therapy, LLC
• Joan Elise Forbes, LCSW
• Christina A Fratto
• Fripperies LTD
• Angelo Fusaro

• All providers in Mystic, CT
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.