Individual provider Active NPI

Paulina Myers, B.S., PHARM.D

  • Pharmacist
  • East Haven, CT
National Provider Identifier
1770959330
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0013401 Issued in CT
Practice address
588 Main St
East Haven, CT 06512-2001
Phone
(203) 469-7648
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0013401 CT Primary

Addresses

Primary practice location

588 Main St
East Haven, CT 06512-2001

Mailing address

588 Main St
East Haven, CT 06512-2001
Phone (203) 469-7648

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PCT.0013401CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Connecticut Inc PastSince Feb 8, 2023 Accepting new patients
Rite Aid of Connecticut Inc Past Accepting new patients
Rite Aid of Connecticut Inc PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 3

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1770959330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122001",
            "telephone_number": "203-469-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122001",
            "telephone_number": "203-469-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PAULINA",
        "credential": "B.S., PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0013401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.