Individual provider Active NPI

Robert Tanguay, CPHT

  • Pharmacy Technician
  • Waterbury, CT
National Provider Identifier
1730779935
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PTN.0001065 Issued in CT
Practice address
675 N Main St
Waterbury, CT 06704-3508
Phone
(203) 753-5158
Fax
(203) 597-0625
NPI assigned
Jan 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PTN.0001065 CT Primary

Addresses

Primary practice location

675 N Main St
Waterbury, CT 06704-3508

Mailing address

675 N Main St
Waterbury, CT 06704-3508
Phone (203) 753-5158

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

LicenseStateTypeSpecialty
PTN.0001065CTMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
W.H. Pickett Drug Co CurrentSince Jan 24, 2021 Accepting new patients

Locations

675 N Main St
Waterbury, CT 06704
Phone (203) 753-5158

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1730779935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043508",
            "telephone_number": "203-753-5158",
            "fax_number": "203-597-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043508",
            "telephone_number": "203-753-5158",
            "fax_number": "203-597-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUAY",
        "first_name": "ROBERT",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CT",
            "license": "PTN.0001065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.