Matthew Arellano
Individual provider Active NPI Pharmacist · Wallingford, CT
NPI 1982281580 · NPPES record last updated Mar 28, 2021
Key facts
- NPI
- 1982281580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0015315 (CT)
- Practice address
- 891 N Colony Rd
Wallingford, CT 06492-2437 - Phone
- (203) 294-8890
- NPI assigned
- Mar 28, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015315 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0015315 | CT | Yes |
Addresses
Primary practice location
891 N Colony Rd
Wallingford, CT 06492-2437
Mailing address
122 Grandview Ave
Wallingford, CT 06492-5109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148889985 | Other | CT | DRIVERS LICENSE |
Other providers in Wallingford, CT
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- Bristyn Aquilino
- Jamie Arber
- Arc in Home Addiction Treatment, P.C.
- Arc Light Behavioral Health Collective LLC
- Subhashini Arigovindan
- Diane L Armstrong
- Patrick Michael Armstrong
- Ashley Arthur
- Kwaku Ohene Asare
All providers in Wallingford, CT · Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2021. 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.