Individual provider Active NPI

Sangeetha Kusa, RPH

  • Pharmacist
  • West Hartford, CT
National Provider Identifier
1427836170
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0012476 Issued in CT
Practice address
342 N Main St Ste 70
West Hartford, CT 06117-2507
Phone
(860) 882-1808
Fax
(860) 882-1791
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0012476 CT Primary

Addresses

Primary practice location

342 N Main St Ste 70
West Hartford, CT 06117-2507

Mailing address

342 N Main St Ste 70
West Hartford, CT 06117-2507
Phone (860) 882-1808

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0012476CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Pharmacy LTC Inc PastSince Sep 17, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1427836170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST STE 70",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172507",
            "telephone_number": "860-882-1808",
            "fax_number": "860-882-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST STE 70",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172507",
            "telephone_number": "860-882-1808",
            "fax_number": "860-882-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSA",
        "first_name": "SANGEETHA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0012476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.