Active NPI
Maria Katsetos
- Pharmacist
- Stamford, CT
National Provider Identifier
1376991455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0012307
- Practice address
- 66 High Ridge Rd
Stamford, CT 06905-3807 - Phone
- (203) 541-3972
- Fax
- (203) 602-5526
- NPI assigned
- May 30, 2016
- Last updated
- May 30, 2016
- Sex
- Female
- 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 | PCT0012307 | CT | Primary |
Addresses
Primary practice location
66 High Ridge Rd
Stamford, CT 06905-3807
Mailing address
66 High Ridge Rd
Stamford, CT 06905-3807
Phone (203) 541-3972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0012307 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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, 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": "1464566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464566400000",
"number": "1376991455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053807",
"telephone_number": "203-541-3972",
"fax_number": "203-602-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053807",
"telephone_number": "203-541-3972",
"fax_number": "203-602-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSETOS",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-30",
"last_updated": "2016-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0012307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.