Active NPI
Adeline Gianutsos
- Pharmacist
- Tolland, CT
National Provider Identifier
1700330776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5433
- Practice address
- 24 Shanda LN
Tolland, CT 06084-3950 - Phone
- (860) 875-4478
- NPI assigned
- Aug 8, 2016
- Last updated
- Aug 8, 2016
- 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 | 5433 | CT | Primary |
Addresses
Primary practice location
24 Shanda LN
Tolland, CT 06084-3950
Mailing address
24 Shanda LN
L
Tolland, CT 06084-3950
Phone (860) 875-4478
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5433 | Other | CT | PHARMACIST |
| 2059 | Other | RI | PHARMACY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1700330776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SHANDA LN",
"address_2": "L",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843950",
"telephone_number": "860-875-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SHANDA LN",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843950",
"telephone_number": "860-875-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANUTSOS",
"first_name": "ADELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "5433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "5433",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "2059",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tolland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.