Individual provider Active NPI

Suruchi Patel

  • Pharmacist
  • Plainville, CT
National Provider Identifier
1982114831
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT0013119 Issued in CT
Practice address
170 East St
Plainville, CT 06062-2913
Phone
(860) 222-9422
Fax
(860) 222-9868
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT0013119 CT Primary

Addresses

Primary practice location

170 East St
Plainville, CT 06062-2913

Mailing address

50 Toll Gate Rd
Berlin, CT 06037-3606
Phone (201) 772-4681

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
PCT0013119CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Plainville Community Pharmacy LLC Current Accepting new patients

Locations

170 East St
Plainville, CT 06062
Phone (860) 222-9422

Interoperability endpoints

  • Direct secure messaging: plainvillecommunitypharmacy@plainvillecommunitypharmacy.libertysoftwaredirect.com

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1982114831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOLL GATE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373606",
            "telephone_number": "201-772-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622913",
            "telephone_number": "860-222-9422",
            "fax_number": "860-222-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SURUCHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0013119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.