Active NPI
Thomas Leigh Vandeusen, RPH
- Pharmacist
- Hamden, CT
National Provider Identifier
1578852679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0007341
- Practice address
- 2175 Dixwell Ave
Hamden, CT 06514-2405 - Phone
- (203) 288-3895
- Fax
- (203) 281-4113
- NPI assigned
- Mar 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0007341 | CT | Primary |
Addresses
Primary practice location
2175 Dixwell Ave
Hamden, CT 06514-2405
Mailing address
2175 Dixwell Ave
Hamden, CT 06514-2405
Phone (203) 288-3895
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0007341 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug Inc | Past | Accepting new patients | |
| Maxi Drug Inc | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1578852679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 DIXWELL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142405",
"telephone_number": "203-288-3895",
"fax_number": "203-281-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 DIXWELL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142405",
"telephone_number": "203-288-3895",
"fax_number": "203-281-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEUSEN",
"first_name": "THOMAS",
"middle_name": "LEIGH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0007341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.