Individual provider Active NPI

Robert Christopher Isner Jr., PHARMD

  • Pharmacist
  • Orange, CT
National Provider Identifier
1740703065
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT0014071 Issued in CT
Practice address
109 Boston Post Rd Ste 9a
Orange, CT 06477-3235
Phone
(203) 553-9830
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT0014071 CT Primary

Addresses

Primary practice location

109 Boston Post Rd Ste 9a
Orange, CT 06477-3235

Mailing address

109 Boston Post Rd Ste 9a
Orange, CT 06477-3235
Phone (203) 553-9830

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PCT0014071CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Pharmacy LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

109 Boston Post Rd
Ste 9A
Orange, CT 06477
Phone (203) 553-9830

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1740703065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST RD STE 9A",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773235",
            "telephone_number": "203-553-9830",
            "fax_number": "203-553-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST RD STE 9A",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773235",
            "telephone_number": "203-553-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISNER",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2021-07-15",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0014071",
            "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 15, 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.