Michael A Mastroianni, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0007580 Issued in CT

Practice address

Stolls Pharmacy Inc
185 Grove St
Waterbury, CT 06710

Phone

(203) 575-0199

Fax

(203) 575-0515

NPI assigned

Apr 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1417511718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STOLLS PHARMACY INC",
            "address_2": "185 GROVE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06710",
            "telephone_number": "203-575-0199",
            "fax_number": "203-575-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STOLLS PHARMACY INC",
            "address_2": "185 GROVE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06710",
            "telephone_number": "203-575-0199",
            "fax_number": "203-575-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROIANNI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0007580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004083234",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0139070001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deann Masterson, PA-C
• Deborah A. Mastriani, APRN
• Cassandra Catherine Mastrianni, LPC
• Danielle N Mastriano, MSW,BA,LMSW,LADC
• Kellie Ann Mastrogiovanni, LBA
• Shelby Mata
• Tatiana Mateo
• Lindsay Matera
• Ajin Mathew
• Linda T Mathew, MD

• 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 Apr 23, 2019; 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.