Organization Active NPI

Ivery and Dudley Inc

  • Durable Medical Equipment & Medical Supplies
  • Winsted, CT
National Provider Identifier
1407913486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4632 Issued in CT
Legal business name
IVERY AND DUDLEY INC
Practice address
118 Main St
Winsted, CT 06098-1713
Phone
(860) 738-1055
Fax
(800) 856-0221
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Parisi, RPH
Title
President
Phone
(860) 738-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4632 CT Primary

Addresses

Primary practice location

118 Main St
Winsted, CT 06098-1713

Mailing address

118 Main St
Winsted, CT 06098-1713
Phone (860) 738-1055

Other names 1

  • IVERY AND DUDLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ivery and Dudley Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

118 Main St
Winsted, CT 06098
Phone (860) 379-0755

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407913486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981713",
            "telephone_number": "860-738-1055",
            "fax_number": "800-856-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981713",
            "telephone_number": "860-738-1055",
            "fax_number": "800-856-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVERY AND DUDLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-738-1055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVERY AND DUDLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winsted, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.