Nicholas Iannotti, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PTN.0022009 Issued in CT

Practice address

1100 Sherman Ave
Hamden, CT 06514-1363

Phone

(203) 747-3933

NPI assigned

Dec 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxi Drug Inc

  • Community/Retail Pharmacy
  • New Bedford, MA
  • NPI 1740389022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1699434282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BRADLEY ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065121412",
            "telephone_number": "203-999-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141363",
            "telephone_number": "203-747-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 Middletown Ave",
            "address_purpose": "LOCATION",
            "city": "Northford",
            "state": "CT",
            "postal_code": "064721395",
            "country_code": "US",
            "telephone_number": "203-484-0431",
            "fax_number": "203-484-2693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IANNOTTI",
        "first_name": "NICHOLAS",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CT",
            "license": "PTN.0022009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Husko, DO
• Taiasia Brooke Hutchinson
• Sharon G. Huttner, MS CCC SLP
• Diane Chen Iacovelli, D.M.D.
• Marc Daniel Iannaccone, PHARMD
• Eliran Ifrach, LPC
• Impact Care Physicians CT PC
• Impact Specialty Solutions CT PC
• In-Home Chiropractic Services
• Injectable Med Compliance

• Pharmacy Technician in Hamden, CT
• Providers in Hamden, CT by specialty
• Pharmacy Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.