Active NPI
Doris Louise Arundel
- Pharmacist
- Putnam, CT
National Provider Identifier
1629540703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8229
- Practice address
- 57 Providence Pike
Putnam, CT 06260-2413 - Phone
- (860) 963-2548
- Fax
- (860) 963-2597
- NPI assigned
- Dec 29, 2018
- Last updated
- Dec 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 8229 | CT | Primary |
Addresses
Primary practice location
57 Providence Pike
Putnam, CT 06260-2413
Mailing address
57 Providence Pike
Putnam, CT 06260-2413
Phone (860) 963-2548
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 |
|---|---|---|---|
| 8229 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy, LLC | 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": "1546041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546041600000",
"number": "1629540703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PROVIDENCE PIKE",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602413",
"telephone_number": "860-963-2548",
"fax_number": "860-963-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PROVIDENCE PIKE",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602413",
"telephone_number": "860-963-2548",
"fax_number": "860-963-2597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARUNDEL",
"first_name": "DORIS",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-29",
"last_updated": "2018-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "8229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.