Active NPI
Nicholas Correia, RPH
- Pharmacist
- West Hartford, CT
National Provider Identifier
1497375414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9649
- Practice address
- 1044 Boulevard
West Hartford, CT 06119-1801 - Phone
- (860) 236-9348
- NPI assigned
- Apr 20, 2020
- Last updated
- Apr 20, 2020
- 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 | 9649 | CT | Primary |
Addresses
Primary practice location
1044 Boulevard
West Hartford, CT 06119-1801
Mailing address
94 Bridle Path Dr
Southington, CT 06489-4046
Phone (617) 645-4339
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | 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, 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": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1497375414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 BRIDLE PATH DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064894046",
"telephone_number": "617-645-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BOULEVARD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191801",
"telephone_number": "860-236-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREIA",
"first_name": "NICHOLAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "9649",
"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 20, 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.