Edward John Stukshis

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.005311 Issued in CT

Practice address

675 N Main St
Waterbury, CT 06704-3508

Phone

(203) 753-5158

Fax

(203) 597-0625

NPI assigned

Jul 13, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• W.H. Pickett Drug Co

  • Community/Retail Pharmacy
  • Waterbury, CT
  • NPI 1669486940
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881116622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043508",
            "telephone_number": "203-753-5158",
            "fax_number": "203-597-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043508",
            "telephone_number": "203-753-5158",
            "fax_number": "203-597-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKSHIS",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.005311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshana Streiter, M.D.
• Andrea Strileckis
• Samantha E.Z. Strong, PT
• Ellen Struzziero, RN, CNM, MSN
• Robert Milton Stubbs, LCSW
• Susan Stumpf
• Eleanor Elizabeth Stutz, M.D.
• Wendy Sufra
• Stephanie L. Sugin, M.D.
• Hajrie Sulejmani

• Pharmacist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.