Active NPI
Jeffrey Matthew Burgess, PHARM D
- Pharmacist
- Waterbury, CT
National Provider Identifier
1598063000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0010581
- Practice address
- 141 Meriden Rd
Waterbury, CT 06705-1937 - Phone
- (203) 573-0378
- NPI assigned
- Mar 8, 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.0010581 | CT | Primary |
Addresses
Primary practice location
141 Meriden Rd
Waterbury, CT 06705-1937
Mailing address
141 Meriden Rd
Waterbury, CT 06705-1937
Phone (203) 573-0378
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0010581 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Connecticut Inc | Past | Accepting new patients | |
| Rite Aid of Connecticut 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.
-
- Community/Retail Pharmacy
- New Haven, CT
- NPI 1326411570
-
- Community/Retail Pharmacy
- Waterbury, CT
- NPI 1831262831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1598063000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 MERIDEN RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067051937",
"telephone_number": "203-573-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MERIDEN RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067051937",
"telephone_number": "203-573-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JEFFREY",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0010581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.