Individual provider Active NPI

Gwendolyn Patricia Mauceri, PHARMD

  • Pharmacist
  • Springfield, MA
National Provider Identifier
1457920100
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0015550 Issued in CT
Practice address
1049 Main St
Springfield, MA 01103-2114
Phone
(413) 693-1005
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH240861 MA
Pharmacist 183500000X PCT.0015550 CT Primary

Addresses

Primary practice location

1049 Main St
Springfield, MA 01103-2114

Mailing address

44 Mountain Rd
Tariffville, CT 06081-9617
Phone (978) 424-6222

Other names 1

  • Gwendolyn Patricia Bronnes Former name

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
PCT.0015550CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug Inc PastSince Jun 22, 2021 Accepting new patients
Maxi Drug Inc PastSince Jun 22, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1457920100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MOUNTAIN RD",
            "city": "TARIFFVILLE",
            "state": "CT",
            "postal_code": "060819617",
            "telephone_number": "978-424-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032114",
            "telephone_number": "413-693-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCERI",
        "first_name": "GWENDOLYN",
        "middle_name": "PATRICIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240861",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0015550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "BRONNES",
            "middle_name": "PATRICIA",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.