Active NPI
Timothy Edward Suarez, PHARMD
- Pharmacist
- Groton, CT
National Provider Identifier
1902334089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0010382
- Practice address
- 220 Route 12
Groton, CT 06340-3414 - Phone
- (860) 445-8807
- NPI assigned
- Jun 1, 2017
- 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 | 183500000X | 0010382 | CT | Primary |
Addresses
Primary practice location
220 Route 12
Groton, CT 06340-3414
Mailing address
151 Grove Ave
Groton, CT 06340-3527
Phone (860) 445-8807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0010382 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1902334089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 GROVE AVE",
"city": "GROTON",
"state": "CT",
"postal_code": "063403527",
"telephone_number": "860-445-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ROUTE 12",
"city": "GROTON",
"state": "CT",
"postal_code": "063403414",
"telephone_number": "860-445-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "TIMOTHY",
"middle_name": "EDWARD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0010382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
- Jennifer Stone, RPH.
- Stonington Behavioral Health Inc (Stonington Institute)
- Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #682)
- Kenderick Renard Street Jr., IDC
- Mary Suarez
- Jimmy Nazih Suliman, DDS
- Daniel Patrick Sullivan, SUBMARINE IDC
- Darien Sun
- Konrad Edward Surdel, DO
- Patricia R Swim, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.