Active NPI
James Maffucci, RPH
- Ambulatory Care Pharmacist
- Middletown, CT
National Provider Identifier
1659807832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 006360
- Practice address
- 416 E Main St
Middletown, CT 06457-4555 - Phone
- (860) 346-1779
- Fax
- (844) 411-6437
- NPI assigned
- May 5, 2017
- Last updated
- May 5, 2017
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 006360 | CT | Primary |
Addresses
Primary practice location
416 E Main St
Middletown, CT 06457-4555
Mailing address
416 E Main St
Middletown, CT 06457-4555
Phone (860) 346-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006360 | Other | CT | PHARMACY LICENCE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006360 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co 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.
-
dba Stop and Shop Pharmacy #623
- Community/Retail Pharmacy
- Middletown, CT
- NPI 1780616649
-
dba Stop & Shop Pharmacy 2818
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1659807832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574555",
"telephone_number": "860-346-1779",
"fax_number": "844-411-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574555",
"telephone_number": "860-346-1779",
"fax_number": "844-411-6437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFFUCCI",
"first_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-05",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CT",
"license": "006360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENCE",
"identifier": "0006360",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.