Way H Qiu

Primary specialty

PharmacistTaxonomy code 183500000X

License

9728 Issued in CT

Practice address

150 Gold Star Hwy
Groton, CT 06340-3442

Phone

(860) 449-6902

NPI assigned

Sep 12, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1366810947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403442",
            "telephone_number": "860-449-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIU",
        "first_name": "WAY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "9728",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lyn Prentiss, APRN
• Elizabeth Ann Preston, MS CCC-SLP
• Karen Prochno, LCSW
• Arcy Jae Pulido
• Nicole D Pumphrey, NP
• Manuel Ramirez II
• Joseph Robert Raska, I.D.C.
• Adam Clinton Ray, IDC
• Catherine A Reardon, LMFT
• Lonnie Jay Reardon, SUBMARINE IDC

• Pharmacist in Groton, CT
• Providers in Groton, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.