Individual provider Active NPI

Robert James Marussich, BSPHARMACY

  • Oncology Pharmacist
  • Greenwich, CT
National Provider Identifier
1922667732
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
9082 Issued in CT
Practice address
77 Lafayette PL Ste 200
Greenwich, CT 06830-5426
Phone
(203) 863-3772
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X 9082 CT Primary

Addresses

Primary practice location

77 Lafayette PL Ste 200
Greenwich, CT 06830-5426

Mailing address

4 Victory Dr
Darien, CT 06820-5020
Phone (203) 733-1236

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

LicenseStateTypeSpecialty
9082CTMDCritical Care Neonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1922667732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VICTORY DR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205020",
            "telephone_number": "203-733-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL STE 200",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305426",
            "telephone_number": "203-863-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSSICH",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "BSPHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "CT",
            "license": "9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.