Edmund J Funaro Sr., PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

3928 Issued in CT

Practice address

714 Dixwell Ave
New Haven, CT 06511-1038

Phone

(203) 562-6878

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Visels Drug Store Inc

  dba Visels Pharmacy

  • Community/Retail Pharmacy
  • New Haven, CT
  • NPI 1710070487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538217633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 TOWPATH LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103314",
            "telephone_number": "203-272-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DIXWELL AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111038",
            "telephone_number": "203-562-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNARO",
        "first_name": "EDMUND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "3928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04026233",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Fuller
• Mary Fuller, LPN
• Brandon Fulton
• Ryan Funai, PHARMD
• Edmund J Funaro Jr., R.PH.
• Janet R Funaro
• Shelby Fundin, PA-C
• Celia Fung
• Avery Thomas Funkhouser, MD
• Magda Anna Furman, PA-C

• Pharmacist in New Haven, CT
• Providers in New Haven, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.