Active NPI
Tommy Mathew Easow, PHARM.D.
- Pharmacist
- Manchester, CT
National Provider Identifier
1649824582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14486
- Practice address
- 241 Middle Tpke W
Manchester, CT 06040-3834 - Phone
- (860) 533-1156
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- 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 | 14486 | CT | Primary |
Addresses
Primary practice location
241 Middle Tpke W
Manchester, CT 06040-3834
Mailing address
241 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 533-1156
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 |
|---|---|---|---|
| 14486 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1649824582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403834",
"telephone_number": "860-533-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403834",
"telephone_number": "860-533-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASOW",
"first_name": "TOMMY",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "14486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
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- Eastern Connecticut Cardiology Associates LLC
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- Eastern Connecticut Neurology Specialist LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.