Active NPI
Manar Aljobori
- Pharmacist
- Bloomfield, CT
National Provider Identifier
1497594972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0016342
- Practice address
- 341 Cottage Grove Rd
Bloomfield, CT 06002 - Phone
- (860) 243-8351
- NPI assigned
- May 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S026907 | AZ | |
| Pharmacist | 183500000X | PCT.0016342 | CT | Primary |
Addresses
Primary practice location
341 Cottage Grove Rd
Bloomfield, CT 06002
Mailing address
127 Colonial Street
West Hartford, CT 06110
Phone (860) 997-4141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S026907 | AZ | MD | Pharmacist |
| PCT.0016342 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Connecticut CVS Pharmacy LLC | 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 and National Provider Directory roles.
-
- Pharmacy
- Guilford, CT
- NPI 1417746108
-
- Pharmacy
- Bloomfield, CT
- NPI 1154425056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1497594972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 COLONIAL STREET",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06110",
"telephone_number": "860-997-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "06002",
"telephone_number": "860-243-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALJOBORI",
"first_name": "MANAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026907",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0016342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.