Amy Bartlett, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

09224 Issued in CT

Practice address

1391 Main St
Willimantic, CT 06226-1949

Phone

(860) 456-7240

Fax

(860) 423-0219

NPI assigned

Nov 15, 2016

Sex

Female

Sole proprietor

Yes

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.

• The Stop & Shop Supermarket Company, LLC

  • Community/Retail Pharmacy
  • Willimantic, CT
  • NPI 1528090487
  NPD (past)
• Stop and Shop Supermarket Co LLC

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2016.

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1639611106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261949",
            "telephone_number": "860-456-7240",
            "fax_number": "860-423-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261949",
            "telephone_number": "860-456-7240",
            "fax_number": "860-423-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "AMY",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "09224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Curry Bane, DNP CNM
• Kassandrah Daniella Banks, LMSW
• Vicki Lynn Barbero, M.ED.,LADC
• Kelli T Barbone
• Mary Elizabeth Barry, M.D.
• Nicole Ann Bashar, RDH
• Burton T Bates
• Tyler C Beckwith
• Amy Rose Benenson, MSPAS, PA-C
• Tara Bergeron, LMSW

• All providers in Willimantic, CT
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.