Active NPI
Meykiw Comas-Fong
- Pharmacist
- New Haven, CT
National Provider Identifier
1578830485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0011523
- Practice address
- 88 York St
New Haven, CT 06511-5619 - Phone
- (203) 752-9893
- NPI assigned
- Nov 20, 2011
- Last updated
- Nov 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0011523 | CT | Primary |
Addresses
Primary practice location
88 York St
New Haven, CT 06511-5619
Mailing address
400 Blake St
Apt 2103
New Haven, CT 06515-4410
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0011523 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321747200000",
"number": "1578830485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BLAKE ST",
"address_2": "APT 2103",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065154410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115619",
"telephone_number": "203-752-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMAS-FONG",
"first_name": "MEYKIW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-20",
"last_updated": "2011-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0011523",
"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 Nov 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.