Active NPI
Derrek Krasnicki, PHARMD
- Pharmacist
- East Haven, CT
National Provider Identifier
1538471586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0010746
- Practice address
- 31 Palmetto TRL
East Haven, CT 06512-4631 - Phone
- (203) 691-6508
- NPI assigned
- Jul 7, 2010
- Last updated
- Jul 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT0010746 | CT | Primary |
| Pharmacist | 183500000X | 051743-1 | NY |
Addresses
Primary practice location
31 Palmetto TRL
East Haven, CT 06512-4631
Mailing address
31 Palmetto TRL
East Haven, CT 06512-4631
Phone (203) 691-6508
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0010746 | CT | MD | Pharmacist |
| 051743-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1538471586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PALMETTO TRL",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065124631",
"telephone_number": "203-691-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 PALMETTO TRL",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065124631",
"telephone_number": "203-691-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASNICKI",
"first_name": "DERREK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0010746",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051743-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.