Active NPI
Jonathan Alan Speicher
- Pharmacist
- Fairfield, CT
National Provider Identifier
1811473879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0006638
- Practice address
- 1160 Kings Highway Cutoff
Fairfield, CT 06824-5271 - Phone
- (203) 254-8538
- Fax
- (203) 254-8698
- NPI assigned
- Jul 12, 2018
- 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 | 0006638 | CT | Primary |
Addresses
Primary practice location
1160 Kings Highway Cutoff
Fairfield, CT 06824-5271
Mailing address
1160 Kings Highway Cutoff
Fairfield, CT 06824-5271
Phone (203) 254-8538
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006638 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1811473879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 KINGS HIGHWAY CUTOFF",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245271",
"telephone_number": "203-254-8538",
"fax_number": "203-254-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 KINGS HIGHWAY CUTOFF",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245271",
"telephone_number": "203-254-8538",
"fax_number": "203-254-8698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEICHER",
"first_name": "JONATHAN",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0006638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
- Fiore F Soviero, PA
- Sparkle Wellness, LLC (Marsha Polanco, LCSW)
- Amy M Sparks, OT
- Specialty Social Services at Home, LLC
- Jessica Speed, PT, DPT
- Evelyn Spencer, DMD
- Spine & Sport Fairfield LLC (Source of Strength Chiropractic)
- Sam A. Spinowitz, M.D.
- Julie E. Spivack, MD
- Debra L. Spross, PT, MS, OCS, CERTMDT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.