Active NPI
Frederick J Santa Jr., RPH
- Pharmacist
- North Haven, CT
National Provider Identifier
1881984482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5171
- Practice address
- 445 Washington Ave
North Haven, CT 06473-1320 - Phone
- (203) 287-7375
- Fax
- (203) 287-7376
- NPI assigned
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 5171 | CT | Primary |
Addresses
Primary practice location
445 Washington Ave
North Haven, CT 06473-1320
Mailing address
66 Church St
New Haven, CT 06510
Phone (203) 777-7248
Other practice location 1
66 Church St
New Haven, CT 06510
Phone (203) 777-7248
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5171 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Connecticut Inc | Past | Accepting new patients | |
| Rite Aid of Connecticut Inc | 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.
-
- Community/Retail Pharmacy
- New Haven, CT
- NPI 1326411570
-
- Community/Retail Pharmacy
- New Haven, CT
- NPI 1831208214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881984482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CHURCH ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-777-7248",
"fax_number": "203-777-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WASHINGTON AVE",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064731320",
"telephone_number": "203-287-7375",
"fax_number": "203-287-7376"
}
],
"practiceLocations": [
{
"address_1": "66 Church St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-777-7248",
"fax_number": "203-777-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTA",
"first_name": "FREDERICK",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "5171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.