Kelly Marie Carucci, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0016706 Issued in CT

Practice address

142 Talcottville Rd
Vernon, CT 06066-4705

Phone

(860) 871-1661

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut CVS Pharmacy LLC

  dba CVS Pharmacy # 00231

  • Pharmacy
  • Vernon, CT
  • NPI 1023112927
  NPD (past)
• Connecticut CVS Pharmacy LLC

  dba CVS Pharmacy 17918

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1407679046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHERRY BROOK LN",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781039",
            "telephone_number": "860-335-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664705",
            "telephone_number": "860-871-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Enfield St",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823617",
            "country_code": "US",
            "telephone_number": "860-741-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUCCI",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0016706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen B Callis, LMT
• Natacha Campbell, RN
• Eric Anthony Camyre, D.O
• Timothy J. Caouette, APRN
• Mary Neubelt Cardarelli
• Jennifer Ann Caruso, PSY.D.
• Andrew David Castillo, LPC
• Alfred A Caudullo, D.O.
• Louise Giammona Caudullo, D.O.
• Center for Family & Individual Psychotherapy, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.