Charnelle Raphael, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0010678 Issued in CT

Practice address

3465 Berlin Tpke
Newington, CT 06111-5106

Phone

(860) 665-7813

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1821588088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TIFFANY DR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115106",
            "telephone_number": "860-665-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "CHARNELLE",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "0010678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Rajotte, D.M.D
• Virginia Ramos Rios, LMSW
• Frances Ivette Ramos-Herberth, MD
• Kimberly Rose Ramos
• Alpana A Rana, MD
• Doreen Raskys, PT
• Ninnette Lee Rawlinitis, LCSW
• Tanisha Rawlinson
• Tanya Ray, MD
• Katherine Szabo Reese, M.D.

• Community/Retail Pharmacy in Newington, CT
• Providers in Newington, 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 May 14, 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.