Active NPI
Elizabeth Jane Gernux
- Pharmacist
- Naugatuck, CT
National Provider Identifier
1396340386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14582
- Practice address
- 98 Bridge St
Naugatuck, CT 06770-2822 - Phone
- (203) 723-1172
- Fax
- (203) 723-0643
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 14582 | CT | Primary |
Addresses
Primary practice location
98 Bridge St
Naugatuck, CT 06770-2822
Mailing address
98 Bridge St
Naugatuck, CT 06770-2822
Phone (203) 723-1172
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 |
|---|---|---|---|
| 14582 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1396340386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 BRIDGE ST",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067702822",
"telephone_number": "203-723-1172",
"fax_number": "203-723-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 BRIDGE ST",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067702822",
"telephone_number": "203-723-1172",
"fax_number": "203-723-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNUX",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "14582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naugatuck, CT
- Avery Gabrenas
- Christine Jessica Gaits-Falcone, LCSW
- Genesis Eldercare Rehab SVCS
- Genesis Health Ventures of Naugatuck, Inc. (Glendale Center)
- Geoffrey M. Drawbridge, D.D.S., P.C.
- Adriana S Ghisa, MD
- Dantalee Nicola Gibbons
- Xavier Gibson, PT
- Gifted Hands Massage & Spa LLC (Gifted Hands Massage Therapy)
- Evelyn W. Godwin, A.P.R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.