Active NPI
Jeffrey Robert Pepe, PHARMD
- Pharmacist
- West Hartford, CT
National Provider Identifier
1477065241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.15069
- Practice address
- 324 N Main St
West Hartford, CT 06117-2675 - Phone
- (860) 236-1988
- Fax
- (860) 236-9507
- NPI assigned
- Nov 1, 2017
- Last updated
- Apr 9, 2024
- 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 | PCT.15069 | CT | Primary |
Addresses
Primary practice location
324 N Main St
West Hartford, CT 06117-2675
Mailing address
324 N Main St
West Hartford, CT 06117-2675
Phone (860) 236-1988
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.15069 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Pharmacy | Current | Accepting new patients |
| Walgreen Co | Pharmacy | Past | Accepting new patients |
Locations
324 N Main St
West Hartford, CT 06117
Phone (860) 236-1988
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, 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": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1477065241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172675",
"telephone_number": "860-236-1988",
"fax_number": "860-236-9507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172675",
"telephone_number": "860-236-1988",
"fax_number": "860-236-9507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPE",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.15069",
"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 Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.