Active NPI
Andrew Serio
- Pharmacist
- New Haven, CT
National Provider Identifier
1720387988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5671
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3493
- NPI assigned
- Mar 26, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5671 | CT | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
74 Fox Run CT
Newington, CT 06111-4582
Other practice location 1
335 Center St
Manchester, CT 06040-3922
Phone (860) 649-9110 ext. 3
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 |
|---|---|---|---|
| 5671 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1720387988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 FOX RUN CT",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061114582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3493"
}
],
"practiceLocations": [
{
"address_1": "335 Center St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060403922",
"country_code": "US",
"telephone_number": "860-649-9110 x3",
"fax_number": "860-643-2577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERIO",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-26",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "5671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.