Active NPI
Paul Ernest Dufresne, MS, R.PH., DPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Enfield, CT
National Provider Identifier
1861717183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 7200
- Practice address
- 31 Moody Rd
Enfield, CT 06082-3101 - Phone
- (860) 763-7020
- Fax
- (860) 763-7022
- NPI assigned
- Mar 30, 2010
- Last updated
- Mar 30, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 7200 | CT | Primary |
Addresses
Primary practice location
31 Moody Rd
Enfield, CT 06082-3101
Mailing address
31 Moody Rd
Enfield, CT 06082-3101
Phone (860) 763-7020
Other names 1
- Paul Ernest Dufresne
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
- Master of Science, Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1861717183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MOODY RD",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823101",
"telephone_number": "860-763-7020",
"fax_number": "860-763-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MOODY RD",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823101",
"telephone_number": "860-763-7020",
"fax_number": "860-763-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRESNE",
"first_name": "PAUL",
"middle_name": "ERNEST",
"credential": "MS, R.PH., DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CT",
"license": "7200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "DUFRESNE",
"middle_name": "ERNEST",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.