Active NPI
Debbie A Chisolm, PHARM D
- Pharmacist
- Hamden, CT
National Provider Identifier
1497079891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011448
- Practice address
- 1100 Sherman Ave
Hamden, CT 06514-1363 - Phone
- (844) 881-0043
- Fax
- (203) 230-0679
- NPI assigned
- Mar 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32231 | FL | |
| Pharmacist | 183500000X | 047622 | NY | |
| Pharmacist | 183500000X | 0011448 | CT | Primary |
Addresses
Primary practice location
1100 Sherman Ave
Hamden, CT 06514-1363
Mailing address
1100 Sherman Ave
Hamden, CT 06514-1363
Phone (609) 672-2672
Other practice location 1
6 Devine St
North Haven, CT 06473-2195
Phone (203) 230-3940
Other practice location 2
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 333-3700
Other practice location 3
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-4750
Other practice location 4
1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-4076
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 |
|---|---|---|---|
| 0011448 | CT | MD | Pharmacist |
| 32231 | FL | MD | Pharmacist |
| 047622 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erica Weinstein | Past | 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.
-
- Community/Retail Pharmacy
- New Hyde Park, NY
- NPI 1184058489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1497079891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHERMAN AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141363",
"telephone_number": "609-672-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SHERMAN AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141363",
"telephone_number": "844-881-0043",
"fax_number": "203-230-0679"
}
],
"practiceLocations": [
{
"address_1": "6 Devine St",
"address_purpose": "LOCATION",
"city": "North Haven",
"state": "CT",
"postal_code": "064732195",
"country_code": "US",
"telephone_number": "203-230-3940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204700",
"country_code": "US",
"telephone_number": "860-333-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102805",
"country_code": "US",
"telephone_number": "203-384-4750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1450 Chapel St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065114405",
"country_code": "US",
"telephone_number": "203-789-4076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHISOLM",
"first_name": "DEBBIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "32231",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047622",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0011448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.