William Summa

Primary specialty

PharmacistTaxonomy code 183500000X

License

3512 Issued in CT

Practice address

256 Bunker Hill Ave
Waterbury, CT 06708-2253

Phone

(203) 574-7825

Fax

(203) 574-4972

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bunker Hill Pharmacy

  • Long Term Care Pharmacy
  • Waterbury, CT
  • NPI 1154986867
  NPD
• Bunker Hill Pharmacy Inc

  dba Bunker Hill Pharmacy

  • Pharmacy
  • Waterbury, CT
  • NPI 1649251372
  NPD

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1417327438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUNKER HILL AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082253",
            "telephone_number": "203-574-7825",
            "fax_number": "203-574-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUNKER HILL AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082253",
            "telephone_number": "203-574-7825",
            "fax_number": "203-574-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMA",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "3512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Sullivan, MSW
• Kathleen Lea Sullivan, APRN
• Lindsey Ann Sullivan, MSW,BA
• Meghan Sullivan, RD
• Veronica Sullivan
• Gertrude Ellen Super, M.A.
• Taiya Supranovich, LMSW
• Janet Suquilanda
• Surgi-Center Anesthesiologists, P.C
• Surgical Associates of Waterbury, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.