Individual provider Active NPI

Thomas Richard Simenson, R.PH.

  • Pharmacist
  • Cheshire, CT
National Provider Identifier
1922139948
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
08776 Issued in CT
Practice address
1492 Highland Ave Ste 1C
Procare LTC Pharmacy of Connecticut
Cheshire, CT 06410-1287
Phone
(203) 439-9099
Fax
(631) 393-6922
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 08776 CT Primary
Pharmacist 183500000X 050276 NY

Addresses

Primary practice location

1492 Highland Ave Ste 1C
Procare LTC Pharmacy of Connecticut
Cheshire, CT 06410-1287

Mailing address

1492 Highland Ave Ste 1C
Procare LTC Pharmacy of Connecticut
Cheshire, CT 06410-1287
Phone (203) 439-9099

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

LicenseStateTypeSpecialty
050276NYMDGeneral Practice Dentistry
08776CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare LTC Pharmacy of Connecticut LLC Past Accepting new patients

Organizations & group practices 1

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1922139948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 1C",
            "address_2": "PROCARE LTC PHARMACY OF CONNECTICUT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101287",
            "telephone_number": "203-439-9099",
            "fax_number": "631-393-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 1C",
            "address_2": "PROCARE LTC PHARMACY OF CONNECTICUT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101287",
            "telephone_number": "203-439-9099",
            "fax_number": "631-393-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMENSON",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "08776",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.