Individual provider Active NPI

Paul Richard Barry, Jr.

  • Pharmacist
  • New Haven, CT
National Provider Identifier
1578022265
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0006910 Issued in CT
Practice address
5 Science Park Ste 1
New Haven, CT 06511-1989
Phone
(203) 497-7370
Fax
(203) 497-7371
NPI assigned
Mar 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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.0006910 CT Primary

Addresses

Primary practice location

5 Science Park Ste 1
New Haven, CT 06511-1989

Mailing address

PO Box 351
Middletown, CT 06457-7023
Phone (860) 262-6140

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.0006910CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Valley Hospital Current Accepting new patients

Organizations & group practices 1

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1578022265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577023",
            "telephone_number": "860-262-6140",
            "fax_number": "203-497-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SCIENCE PARK STE 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111989",
            "telephone_number": "203-497-7370",
            "fax_number": "203-497-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY, JR.",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0006910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.