Individual provider Active NPI

Janet Mattiucci, RPH

  • Pharmacist
  • Groton, CT
National Provider Identifier
1740738475
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7745 Issued in CT
Practice address
915 Poquonnock Rd
Groton, CT 06340-4257
Phone
(860) 446-0912
Fax
(860) 445-0618
NPI assigned
Sep 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7745 CT Primary

Addresses

Primary practice location

915 Poquonnock Rd
Groton, CT 06340-4257

Mailing address

915 Poquonnock Rd
Groton, CT 06340-4257
Phone (860) 446-0912

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

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1740738475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404257",
            "telephone_number": "860-446-0912",
            "fax_number": "860-445-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404257",
            "telephone_number": "860-446-0912",
            "fax_number": "860-445-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIUCCI",
        "first_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "7745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.