Gerard Michael Borrelli

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0012074 Issued in CT

Practice address

26 Davis St
Oakville, CT 06779-1925

Phone

(860) 945-3390

Fax

(860) 945-3514

NPI assigned

Jun 13, 2021

Last updated

Jun 13, 2021By 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

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.

• Connecticut CVS Pharmacy LLC

  dba CVS Pharmacy 17918

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1568030989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DAVIS ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791925",
            "telephone_number": "860-945-3390",
            "fax_number": "860-945-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DAVIS ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791925",
            "telephone_number": "860-945-3390",
            "fax_number": "860-945-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "GERARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0012074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn Adams, OTR/L
• Kelly Jean Aitchison, RDH
• Anne Marie Allen, M.S., NCC, LPCA
• Kelly Annino, SLP
• Behavior Blocks LLC
• Heather A Bourgault, SLP
• Karen Brazauskas, OTR/L
• Taylor M Brinker, BCBA
• Alyiah Brown
• Stephanie Lynn Burr, CDN,CNS

• Pharmacist in Oakville, CT
• Providers in Oakville, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.