Active NPI
Portia A Wells, RPH
- Pharmacist
- East Haven, CT
National Provider Identifier
1700109428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.9370
- Practice address
- 157 Main St
East Haven, CT 06512-2525 - Phone
- (203) 468-9732
- Fax
- (203) 468-9795
- NPI assigned
- Mar 9, 2010
- 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 | PCT.9370 | CT | Primary |
Addresses
Primary practice location
157 Main St
East Haven, CT 06512-2525
Mailing address
11 Genesee St
East Haven, CT 06513-2714
Phone (203) 687-9291
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.9370 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1700109428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GENESEE ST",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065132714",
"telephone_number": "203-687-9291",
"fax_number": "203-468-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 MAIN ST",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065122525",
"telephone_number": "203-468-9732",
"fax_number": "203-468-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "PORTIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.9370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.