Robert Fusco Sr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCY.2067 Issued in CT

Practice address

514 Old Toll Rd
Madison, CT 06443-1822

Phone

(207) 421-3577

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roberts Pharmacy

  • Community/Retail Pharmacy
  • Madison, CT
  • NPI 1225129562
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386656064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OLD TOLL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431822",
            "telephone_number": "207-421-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OLD TOLL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431822",
            "telephone_number": "207-421-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCY.2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PSY.2067",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse C Freschi, RDN
• Christine Frick, PSY.D.
• Madison Alaia Fucci
• Bryn Funk, PT
• Katrina Louise Furey, M.D.
• Lisa Marie Gagnon, APRN
• Denise Gallo, APRN
• Lisbeth Gannon, LPC
• Sarah Garcia, LMFT
• Joyce Gendler, LPC, REAT, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.