Individual provider Active NPI

Mariana Desku, PHARM-D

  • Pharmacist
  • Stamford, CT
National Provider Identifier
1801376181
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10091 Issued in CT
Practice address
1990 W Main St
Stamford, CT 06902-4563
Phone
(203) 978-0546
Fax
(203) 978-0483
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10091 CT Primary

Addresses

Primary practice location

1990 W Main St
Stamford, CT 06902-4563

Mailing address

1990 W Main St
Stamford, CT 06902-4563
Phone (203) 978-0546

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

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1801376181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 W MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024563",
            "telephone_number": "203-978-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 W MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024563",
            "telephone_number": "203-978-0546",
            "fax_number": "203-978-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESKU",
        "first_name": "MARIANA",
        "credential": "PHARM-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "10091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.