Active NPI
Ralph Mocciola
- Pharmacist
- Fairfield, CT
National Provider Identifier
1447604129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7401
- Practice address
- 1968 Black Rock Tpke
Fairfield, CT 06825-3543 - Phone
- (203) 366-8070
- Fax
- (203) 335-2132
- NPI assigned
- Apr 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7401 | CT | Primary |
Addresses
Primary practice location
1968 Black Rock Tpke
Fairfield, CT 06825-3543
Mailing address
1968 Black Rock Tpke
Fairfield, CT 06825-3543
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Fairfield, CT
- NPI 1295830040
-
- Pharmacy
- Guilford, CT
- NPI 1417746108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1447604129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253543",
"telephone_number": "203-366-8070",
"fax_number": "203-335-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCCIOLA",
"first_name": "RALPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "7401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.