NPIMap

Organization Active NPI

North Street Pharmacy

  • Pharmacist
  • Greenwich, CT
National Provider Identifier
1790838365
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0741 Issued in CT
Legal business name
NORTH STREET PHARMACY
Doing business as
FISCELLA INC.
Practice address
1043 North Street
Greenwich, CT 06831-2701
Phone
(203) 869-2130
Fax
(203) 869-9227
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Mr. Paul Andrew Fiscella, RPH
Title
Pharmacy Manager Owner
Phone
(203) 869-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 0741 CT Primary

Addresses

Primary practice location

1043 North Street
Greenwich, CT 06831-2701

Mailing address

1043 North Street
Greenwich, CT 06831-2701
Phone (203) 869-2130

Other identifiers 2

IdentifierTypeStateIssuer
0711437OtherCTNABP#
PCY0000741OtherCTSTATE LICENSE

Other names 1

  • FISCELLA INC. Doing business as

National Provider Directory

National Provider Directory

Locations

1043 North St
Greenwich, CT 06831
Phone (203) 869-2130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1790838365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 NORTH STREET",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312701",
            "telephone_number": "203-869-2130",
            "fax_number": "203-869-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 NORTH STREET",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312701",
            "telephone_number": "203-869-2130",
            "fax_number": "203-869-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "FISCELLA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACY MANAGER OWNER",
        "authorized_official_telephone_number": "12038692130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "0711437",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PCY0000741",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FISCELLA INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.