Madeline Acquilano, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Bridgeport, CT
NPI 1962023408 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1962023408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- PCT.0014910 (CT)
- Practice address
- 2800 East Main St
Bridgeport, CT 06606 - Phone
- (203) 576-6000
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0014910 | CT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Interoperability endpoints
- madeline.acquilano@hhchealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PCT.0014910 | CT | Yes |
Addresses
Primary practice location
2800 East Main St
Bridgeport, CT 06606
Mailing address
32 Bernadette LN
Durham, CT 06422-2822
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Madeline.acquilano@hhchealth.org |
NPI Registry JSON
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1962023408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 BERNADETTE LN",
"city": "DURHAM",
"state": "CT",
"postal_code": "064222822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 EAST MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06606",
"telephone_number": "203-576-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUILANO",
"first_name": "MADELINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CT",
"license": "PCT.0014910",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Madeline.acquilano@hhchealth.org",
"affiliation": "N",
"endpointDescription": "Work email",
"address_1": "2800 East Main St",
"city": "Bridgeport",
"state": "CT",
"country_code": "US",
"postal_code": "06606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, CT
- Gisselle Acevedo
- Maheep Chowdary Achanta
- Jonathan P Ackley
- Gina M Acosta
- Erica Lynn Acquarulo
- Harry Adamakos
- Barbara Addi
- Babajide Adebusoye
- Adekola Adedeji
- Zosimo Adefuin
All providers in Bridgeport, CT · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.