Active NPI
Charles Joseph Cyganoski Jr., PHARMD
- Pharmacist
- Moosup, CT
National Provider Identifier
1831478858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0009423
- Practice address
- 20 Prospect St
Moosup, CT 06354-1425 - Phone
- (860) 564-5871
- Fax
- (860) 564-0209
- NPI assigned
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0009423 | CT | Primary |
| Pharmacist | 183500000X | RPH02285 | RI | |
| Pharmacist | 183500000X | PS22633 | FL |
Addresses
Primary practice location
20 Prospect St
Moosup, CT 06354-1425
Mailing address
20 Prospect St
Moosup, CT 06354-1425
Phone (860) 564-5871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0009423 | CT | MD | Pharmacist |
| PS22633 | FL | MD | Pharmacist |
| RPH02285 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1831478858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PROSPECT ST",
"city": "MOOSUP",
"state": "CT",
"postal_code": "063541425",
"telephone_number": "860-564-5871",
"fax_number": "860-564-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT ST",
"city": "MOOSUP",
"state": "CT",
"postal_code": "063541425",
"telephone_number": "860-564-5871",
"fax_number": "860-564-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYGANOSKI",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0009423",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH02285",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moosup, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.