Individual provider Active NPI

Jamie A Sutcliffe, PHARMD, RPH

  • Pharmacist
  • Cheshire, CT
National Provider Identifier
1376023747
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0014560 Issued in CT
Practice address
525 Knotter Dr
Cheshire, CT 06410-1100
Phone
(800) 895-8427
NPI assigned
Aug 15, 2018
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0014560 CT Primary

Addresses

Primary practice location

525 Knotter Dr
Cheshire, CT 06410-1100

Mailing address

6 Barrie Rd
East Hampton, CT 06424-1535
Phone (860) 638-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0014560CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut CVS Pharmacy, L.L.C. Past Accepting new patients
Connecticut CVS Pharmacy LLC Past Accepting new patients
Value Healthcare Services LLC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1376023747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BARRIE RD",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241535",
            "telephone_number": "860-638-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 KNOTTER DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101100",
            "telephone_number": "800-895-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTCLIFFE",
        "first_name": "JAMIE",
        "middle_name": "A",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0014560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.