Active NPI
Peter Edward White, RPH
- Pharmacist
- Ellington, CT
National Provider Identifier
1508377706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0008459
- Practice address
- 135 West Rd
Ellington, CT 06029-5725 - Phone
- (860) 896-0264
- NPI assigned
- Oct 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
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.0008459 | CT | Primary |
Addresses
Primary practice location
135 West Rd
Ellington, CT 06029-5725
Mailing address
50 Muriel LN
Feeding Hills, MA 01030-2638
Phone (413) 789-4235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCT.0008459 | Other | CT | PHARMACIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0008459 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1508377706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MURIEL LN",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010302638",
"telephone_number": "413-789-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 WEST RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060295725",
"telephone_number": "860-896-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PETER",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-16",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0008459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PCT.0008459",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.