Active NPI
Ivan L Navarro-Requena, PHARMD
- Pharmacist
- Bristol, CT
National Provider Identifier
1740873090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0015356
- Practice address
- 81 North St
Bristol, CT 06010-4152 - Phone
- (860) 584-8998
- NPI assigned
- Feb 18, 2021
- 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 | PCT.0015356 | CT | Primary |
Addresses
Primary practice location
81 North St
Bristol, CT 06010-4152
Mailing address
38 Alexander St
Bristol, CT 06010-7501
Phone (860) 940-7080
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015356 | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1740873090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ALEXANDER ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060107501",
"telephone_number": "860-940-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 NORTH ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104152",
"telephone_number": "860-584-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO-REQUENA",
"first_name": "IVAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
- Sreedevi Nampoothiri, MD
- Nordia Napier, MSW
- Christina Napoletano, O.D.
- Chante Nation
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Brooke Neller, APRN
- New England Physical Therapy, LLC
- New England Primary Healthcare LLC
- New England Urgent Care Enfield LLC (New England Urgent Care Enfield)
- New England Urgent Care Enfield LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.