Samantha Breaz, PHARMD – Pharmacist in Fairfield, CT

Key facts

NPI: 1346914868
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: PCT.0015638 (CT)
Practice address: 1619 Post Rd
Fairfield, CT 06824-5910
Phone: (203) 259-2353
NPI assigned: Aug 7, 2021
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
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
PCT.0015638	CT	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	PCT.0015638	CT	Yes

Addresses

Primary practice location

1619 Post Rd
Fairfield, CT 06824-5910

Mailing address

25 Lovell PL
Stratford, CT 06615-5810
Phone (203) 767-0544

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	n/a	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2021.

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1346914868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOVELL PL",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155810",
            "telephone_number": "203-767-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245910",
            "telephone_number": "203-259-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAZ",
        "first_name": "SAMANTHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0015638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "1619 Post Rd",
            "city": "Fairfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068245910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CT

All providers in Fairfield, CT · Pharmacist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2021. 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.

Verify at the official NPI Registry.