Active NPI
Jon Gold
- Pharmacist
- New Canaan, CT
National Provider Identifier
1730536152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 183500000X
- Practice address
- 94 Park St
New Canaan, CT 06840-5401 - Phone
- (203) 966-6758
- Fax
- (203) 966-8785
- NPI assigned
- May 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | CT | Primary |
Addresses
Primary practice location
94 Park St
New Canaan, CT 06840-5401
Mailing address
94 Park St
New Canaan, CT 06840-5401
Phone (203) 966-6758
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 |
|---|---|---|---|
| 183500000X | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Guilford, CT
- NPI 1417746108
-
- Pharmacy
- New Canaan, CT
- NPI 1417051327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1730536152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 PARK ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405401",
"telephone_number": "203-966-6758",
"fax_number": "203-966-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 PARK ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405401",
"telephone_number": "203-966-6758",
"fax_number": "203-966-8785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "JON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "183500000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.