Active NPI
David Wu, PHARM.D.
- Pharmacist
- Waterford, CT
National Provider Identifier
1376833145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10153
- Practice address
- 92 Boston Post Rd
Waterford, CT 06385-2421 - Phone
- (860) 865-1303
- Fax
- (860) 437-7323
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10153 | CT | Primary |
Addresses
Primary practice location
92 Boston Post Rd
Waterford, CT 06385-2421
Mailing address
92 Boston Post Rd
Waterford, CT 06385-2421
Phone (860) 865-1303
Other practice location 1
27 Main St
Jewett City, CT 06351-2203
Phone (860) 376-1206
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jwa Services Inc | Current | Accepting new patients | |
| Jwa Services Inc | Current | Accepting new patients |
Locations
92 Boston Post Rd
Waterford, CT 06385
Phone (860) 865-1303
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Waterford, CT
- NPI 1043969629
-
- Community/Retail Pharmacy
- Waterford, CT
- NPI 1124413158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547942400000",
"number": "1376833145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852421",
"telephone_number": "860-865-1303",
"fax_number": "860-437-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852421",
"telephone_number": "860-865-1303",
"fax_number": "860-437-7323"
}
],
"practiceLocations": [
{
"address_1": "27 Main St",
"address_purpose": "LOCATION",
"city": "Jewett City",
"state": "CT",
"postal_code": "063512203",
"country_code": "US",
"telephone_number": "860-376-1206",
"fax_number": "860-376-1246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2019-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "10153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.