Individual provider Active NPI

Michael Natale

  • Pharmacist
  • East Hartford, CT
National Provider Identifier
1558778613
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0013076 Issued in CT
Practice address
20 Connecticut Blvd
East Hartford, CT 06108-3007
Phone
(860) 289-4944
Fax
(860) 289-3817
NPI assigned
Jul 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0013076 CT Primary

Addresses

Primary practice location

20 Connecticut Blvd
East Hartford, CT 06108-3007

Mailing address

649 W Main St
Waterbury, CT 06702-1082

Other practice location 1

649 W Main St
Waterbury, CT 06702-1082
Phone (203) 757-6010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rxm.09784@store.walgreens.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
PCT.0013076CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Eastern Co Inc Past Accepting new patients
Walgreen Eastern Co, Inc Past Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Locations

20 Connecticut Blvd
East Hartford, CT 06108
Phone (860) 289-4944

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1558778613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083007",
            "telephone_number": "860-289-4944",
            "fax_number": "860-289-3817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067021082",
            "country_code": "US",
            "telephone_number": "203-757-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATALE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0013076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rxm.09784@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Connecticut Blvd",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061083007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.