Active NPI
Andrew Anthony Fyne, PHARM D
- Pharmacist
- Canton, CT
National Provider Identifier
1780230714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PTN.0014593
- Practice address
- 220 Albany Tpke
Canton, CT 06019-2565 - Phone
- (860) 693-8329
- NPI assigned
- Aug 15, 2019
- Last updated
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 | PTN.0014593 | CT | Primary |
Addresses
Primary practice location
220 Albany Tpke
Canton, CT 06019-2565
Mailing address
777 Main St Unit 409
Hartford, CT 06103-2309
Phone (718) 710-8432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCT.0014593 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.11604@gmail.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PTN.0014593 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Care Health Pharmacy LLC | Current | Accepting new patients | |
| Bridge Pharmacy LLC | Current | 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.
-
- Community/Retail Pharmacy
- Bridgeport, CT
- NPI 1508654971
-
- Community/Retail Pharmacy
- Bridgeport, CT
- NPI 1770297772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1780230714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 MAIN ST UNIT 409",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061032309",
"telephone_number": "718-710-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ALBANY TPKE",
"city": "CANTON",
"state": "CT",
"postal_code": "060192565",
"telephone_number": "860-693-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FYNE",
"first_name": "ANDREW",
"middle_name": "ANTHONY",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PTN.0014593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PCT.0014593",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.11604@gmail.com",
"affiliation": "N",
"endpointDescription": "email adress",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "220 Albany Tpke",
"city": "Canton",
"state": "CT",
"country_code": "US",
"postal_code": "060192565",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.