Individual provider Active NPI

Nicholas Perdion, PHARMD, RPH

  • Pharmacist
  • Prospect, CT
National Provider Identifier
1669018446
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14982 Issued in CT
Practice address
26 Waterbury Rd
Prospect, CT 06712-1215
Phone
(203) 758-3316
NPI assigned
Nov 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14982 CT Primary

Addresses

Primary practice location

26 Waterbury Rd
Prospect, CT 06712-1215

Mailing address

158 Paddock Ave Apt 302
Meriden, CT 06450-6973
Phone (860) 919-0675

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14982CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut CVS Pharmacy, L.L.C. PastSince Dec 1, 2019 Accepting new patients
Connecticut CVS Pharmacy LLC PastSince Dec 1, 2019 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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1669018446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PADDOCK AVE APT 302",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506973",
            "telephone_number": "860-919-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WATERBURY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121215",
            "telephone_number": "203-758-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDION",
        "first_name": "NICHOLAS",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "14982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.