Active NPI
Sagar Makanji, PHARM D
- Pharmacist
- Trumbull, CT
National Provider Identifier
1639456783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0011294
- Practice address
- 5065 Main Street, Ste Target
Target Pharmacy, Store 2361
Trumbull, CT 06611 - Phone
- (203) 873-2014
- Fax
- (203) 873-2024
- NPI assigned
- Nov 3, 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.0011294 | CT | Primary |
Addresses
Primary practice location
5065 Main Street, Ste Target
Target Pharmacy, Store 2361
Trumbull, CT 06611
Mailing address
5065 Main Street, Ste Target
Target Pharmacy, Store 2361
Trumbull, CT 06611
Phone (203) 873-2014
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.0011294 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | 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.
-
- Pharmacy
- Winston Salem, NC
- NPI 1699797258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1639456783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5065 MAIN STREET, STE TARGET",
"address_2": "TARGET PHARMACY, STORE 2361",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-873-2014",
"fax_number": "203-873-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5065 MAIN STREET, STE TARGET",
"address_2": "TARGET PHARMACY, STORE 2361",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-873-2014",
"fax_number": "203-873-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKANJI",
"first_name": "SAGAR",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0011294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.