Janelle Lazzaro, RPH
Individual provider Active NPI Pharmacist · Winsted, CT
NPI 1376833202 · NPPES record last updated Apr 12, 2011
Key facts
- NPI
- 1376833202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7735 (CT)
- Practice address
- 104 Sucker Brook Rd
Winsted, CT 06098-2917 - Phone
- (860) 738-9256
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0330067449 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7735 | CT | Yes |
| Pharmacist | 183500000X | 0330067449 | VT |
Addresses
Primary practice location
104 Sucker Brook Rd
Winsted, CT 06098-2917
Mailing address
104 Sucker Brook Rd
Winsted, CT 06098-2917
Phone (860) 738-9256
Other providers in Winsted, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2011. 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.