Nidhi Faldu

Individual provider Active NPI Pharmacist · Vernon Rockville, CT

NPI 1679168348 · NPPES record last updated Mar 4, 2021

Key facts

NPI
1679168348
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PCT.0014705 (CT)
Practice address
42 Windsor Ave
Vernon Rockville, CT 06066-6606
Phone
(860) 875-9263
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PCT.0014705CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Pharmacy LLC Current
since Mar 7, 2021
Accepting new patients
Beacon Pharmacy LLC Past
since Mar 7, 2021
Accepting new patients

Locations

42 Windsor Ave
Vernon Rockville, CT 06066
Phone (860) 875-9263

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0014705 CT Yes

Addresses

Primary practice location

42 Windsor Ave
Vernon Rockville, CT 06066-6606

Mailing address

11 Faldu Rd
Windsor, CT 06095-4732
Phone (860) 818-1064

Other providers in Vernon Rockville, CT

All providers in Vernon Rockville, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.