Drust Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0001355 Issued in CT

Legal business name

DRUST MARKETS LLC

Practice address

846 N Colony Rd
Wallingford, CT 06492-2410

Phone

(203) 626-7765

Fax

(203) 626-7767

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ShopRite of Wallingford Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1790855419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 N COLONY RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922410",
            "telephone_number": "203-626-7765",
            "fax_number": "203-626-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUST MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0001355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0713164",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004089480",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite of Wallingford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Craig Dow, D.M.D.
• Dr. Francisco Lopez, LLC
• Jessica Erin Dressel, OTD, OTR/L
• Jane M. Dringoli, OTR/L
• Jon C Driscoll, M.D.
• Mary Katharine Duman, M.S., BCBA, LBA
• Emily Durant, DPT
• Linda Durhan, M.D.
• Peggy A Dyer, PTA
• Erin Dyett, BCBA

• Community/Retail Pharmacy in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.