Active NPI
Nima Zangeneh, RPH
- Pharmacist
- Manchester, CT
National Provider Identifier
1770093759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0009174
- Practice address
- 234 Tolland Tpke
Manchester, CT 06042-1744 - Phone
- (860) 646-4832
- NPI assigned
- Oct 4, 2017
- Last updated
- Oct 4, 2017
- 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 | 0009174 | CT | Primary |
Addresses
Primary practice location
234 Tolland Tpke
Manchester, CT 06042-1744
Mailing address
234 Tolland Tpke
Manchester, CT 06042-1744
Phone (860) 646-4832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009174 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Y Foods, Inc | Past | Accepting new patients | |
| Big Y Foods Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1770093759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 TOLLAND TPKE",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060421744",
"telephone_number": "860-646-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 TOLLAND TPKE",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060421744",
"telephone_number": "860-646-4832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANGENEH",
"first_name": "NIMA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0009174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.