Active NPI
Gary Wayne Sell, RPH,CDE
- Nutrition Support Pharmacist
- Orange, CT
National Provider Identifier
1710974399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 07614
- Practice address
- 333 Manley Heights Rd
Orange, CT 06477-3028 - Phone
- (203) 795-4862
- Fax
- (203) 795-1924
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 07614 | CT | Primary |
Addresses
Primary practice location
333 Manley Heights Rd
Orange, CT 06477-3028
Mailing address
333 Manley Heights Rd
Orange, CT 06477-3028
Phone (203) 795-4862
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 |
|---|---|---|---|
| 07614 | CT | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710974399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 MANLEY HEIGHTS RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773028",
"telephone_number": "203-795-4862",
"fax_number": "203-795-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MANLEY HEIGHTS RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773028",
"telephone_number": "203-795-4862",
"fax_number": "203-795-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELL",
"first_name": "GARY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "RPH,CDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "CT",
"license": "07614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.