Individual provider Active NPI

Ryan Christopher Bango, PHARMD

  • Pharmacist
  • Bridgeport, CT
National Provider Identifier
1851661359
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0010221 Issued in CT
Practice address
4083 Main St
Bridgeport, CT 06606-2302
Phone
(203) 374-2819
Fax
(203) 374-5019
NPI assigned
Dec 31, 2011
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
PCT.0010221CTMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0010221 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

4083 Main St
Bridgeport, CT 06606-2302

Mailing address

4083 Main St
Bridgeport, CT 06606-2302
Phone (203) 374-2819

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2011.

{
    "created_epoch": "1325289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325289600000",
    "number": "1851661359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062302",
            "telephone_number": "203-374-2819",
            "fax_number": "203-374-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062302",
            "telephone_number": "203-374-2819",
            "fax_number": "203-374-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGO",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-31",
        "last_updated": "2011-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0010221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.