Individual provider Active NPI

Antonia Christina Kaloidis, PHARMD

  • Pharmacist
  • Plainville, CT
National Provider Identifier
1447612767
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6588 Issued in CT
Practice address
5 Farmington Ave
Plainville, CT 06062-1726
Phone
(860) 793-9356
NPI assigned
Mar 25, 2016
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS55767 FL
Pharmacist 183500000X 2979 RI
Pharmacist 183500000X 6588 CT Primary

Addresses

Primary practice location

5 Farmington Ave
Plainville, CT 06062-1726

Mailing address

5 Farmington Ave
Plainville, CT 06062-1726
Phone (860) 793-9356

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS55767FLMDPharmacist
2979RIMDPharmacist
6588CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jun 28, 2020 Accepting new patients
Walgreen Co PastSince Jun 28, 2020 Accepting new patients
Connecticut CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1447612767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FARMINGTON AVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621726",
            "telephone_number": "860-793-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FARMINGTON AVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621726",
            "telephone_number": "860-793-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOIDIS",
        "first_name": "ANTONIA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55767",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "2979",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

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