Active NPI
Mary Beth Walsh
- Pharmacist
- Simsbury, CT
National Provider Identifier
1689950545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043113L
- Practice address
- 540 Bushy Hill Road
Simsbury, CT 06070 - Phone
- (860) 658-0479
- NPI assigned
- Oct 24, 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 | RP043113L | PA | Primary |
Addresses
Primary practice location
540 Bushy Hill Road
Simsbury, CT 06070
Mailing address
540 Bushy Hill Road
Simsbury, CT 06070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043113L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1689950545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 BUSHY HILL ROAD",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "06070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 BUSHY HILL ROAD",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "06070",
"telephone_number": "860-658-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "MARY BETH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043113L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simsbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.