Active NPI
Grace Roberts
- Pharmacist
- Wilton, CT
National Provider Identifier
1881057941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12217
- Practice address
- 93 Old Ridgefield Rd
Wilton, CT 06897-3023 - Phone
- (203) 762-5020
- Fax
- (203) 761-0517
- NPI assigned
- Apr 5, 2016
- Sex
- Female
- 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 | 183500000X | 12217 | CT | Primary |
Addresses
Primary practice location
93 Old Ridgefield Rd
Wilton, CT 06897-3023
Mailing address
93 Old Ridgefield Rd
Wilton, CT 06897-3023
Phone (203) 762-5020
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1881057941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 OLD RIDGEFIELD RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068973023",
"telephone_number": "203-762-5020",
"fax_number": "203-761-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 OLD RIDGEFIELD RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068973023",
"telephone_number": "203-762-5020",
"fax_number": "203-761-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "12217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.