Jeffrey Paul Dalessandro, RPH
Individual provider Active NPI Pharmacist · Prospect, CT
NPI 1831230739 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831230739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7101 (CT)
- Practice address
- Ezpharm Pharmacy
166 Waterbury Rd
Prospect, CT 06712 - Phone
- (203) 758-7227
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7101 | CT | Yes |
Addresses
Primary practice location
Ezpharm Pharmacy
166 Waterbury Rd
Prospect, CT 06712
Mailing address
59 Desorbo Dr
Southington, CT 06489-2201
Phone (860) 621-3169
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.