Active NPI
Farai Mazhandu
- Pharmacist
- Cheshire, CT
National Provider Identifier
1639572936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0013139
- Practice address
- 1492 Highland Ave
Suite 1C
Cheshire, CT 06410-1287 - Phone
- (203) 439-9099
- NPI assigned
- Sep 30, 2014
- 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.0013139 | CT | Primary |
Addresses
Primary practice location
1492 Highland Ave
Suite 1C
Cheshire, CT 06410-1287
Mailing address
47 School St Apt 1W
Hartford, CT 06106-3314
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.0013139 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare LTC Pharmacy of Connecticut 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.
-
- Long Term Care Pharmacy
- Cheshire, CT
- NPI 1174807002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1639572936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 SCHOOL ST APT 1W",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 HIGHLAND AVE",
"address_2": "SUITE 1C",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101287",
"telephone_number": "203-439-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZHANDU",
"first_name": "FARAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0013139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.