Active NPI
Brianna Ba, PHARMD
- Pharmacist
- Groton, CT
National Provider Identifier
1750820023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0012457
- Practice address
- 441 Long Hill Rd
Groton, CT 06340-4149 - Phone
- (860) 405-1919
- Fax
- (860) 405-1926
- NPI assigned
- Feb 18, 2017
- Last updated
- Feb 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0012457 | CT | Primary |
| Pharmacist | 183500000X | PR5467 | ME | |
| Pharmacist | 183500000X | PHA.0017221 | CO |
Addresses
Primary practice location
441 Long Hill Rd
Groton, CT 06340-4149
Mailing address
441 Long Hill Rd
Groton, CT 06340-4149
Phone (860) 405-1919
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 |
|---|---|---|---|
| PHA.0017221 | CO | MD | Pharmacist |
| PCT.0012457 | CT | MD | Pharmacist |
| PR5467 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487376000000",
"number": "1750820023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 LONG HILL RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063404149",
"telephone_number": "860-405-1919",
"fax_number": "860-405-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 LONG HILL RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063404149",
"telephone_number": "860-405-1919",
"fax_number": "860-405-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BA",
"first_name": "BRIANNA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-18",
"last_updated": "2017-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0012457",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5467",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0017221",
"primary": false
}
],
"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 Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.