Active NPI
Miralda Gutman
- Pharmacy Technician
- Meriden, CT
National Provider Identifier
1922151125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 2916
- Practice address
- 172 W Main St
Meriden, CT 06451-4104 - Phone
- (203) 235-6305
- Fax
- (203) 235-0244
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 2916 | CT | Primary |
Addresses
Primary practice location
172 W Main St
Meriden, CT 06451-4104
Mailing address
320 Marion Ave
Plantsville, CT 06479-1407
Phone (860) 628-0899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2916 | Other | CT | PHARM TEC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2916 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922151125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 MARION AVE",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791407",
"telephone_number": "860-628-0899",
"fax_number": "203-235-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 W MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064514104",
"telephone_number": "203-235-6305",
"fax_number": "203-235-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAN",
"first_name": "MIRALDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CT",
"license": "2916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARM TEC",
"identifier": "2916",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.