Active NPI
Diane C Gribbin, RPH
- Pharmacist
- Watertown, CT
National Provider Identifier
1669764478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7624
- Practice address
- 1271 Main St
Watertown, CT 06795-3107 - Phone
- (860) 274-9191
- NPI assigned
- May 11, 2011
- Sex
- Female
- 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 | 7624 | CT | Primary |
Addresses
Primary practice location
1271 Main St
Watertown, CT 06795-3107
Mailing address
109 Northwest Dr
Watertown, CT 06795-2044
Phone (860) 274-9756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7624 | Other | CT | PHARMACY LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1669764478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NORTHWEST DR",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952044",
"telephone_number": "860-274-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1271 MAIN ST",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067953107",
"telephone_number": "860-274-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIBBIN",
"first_name": "DIANE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "7624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "7624",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.