Active NPI
Nicholas Perdion, PHARMD, RPH
- Pharmacist
- Prospect, CT
National Provider Identifier
1669018446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14982
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14982 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Connecticut CVS Pharmacy 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 and National Provider Directory roles.
-
- Pharmacy
- Guilford, CT
- NPI 1417746108
-
- Pharmacy
- Prospect, CT
- NPI 1154425072
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.