Active NPI
Jessie Tong Liu
- Pharmacist
- Stamford, CT
National Provider Identifier
1518687599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0014213
- Practice address
- 66 High Ridge Rd
Stamford, CT 06905-3807 - Phone
- (646) 248-0889
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- 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 | PCT0014213 | CT | Primary |
Addresses
Primary practice location
66 High Ridge Rd
Stamford, CT 06905-3807
Mailing address
66 High Ridge Rd
Stamford, CT 06905-3807
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 |
|---|---|---|---|
| PCT0014213 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1518687599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053807",
"telephone_number": "646-248-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JESSIE",
"middle_name": "TONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0014213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.