DR. PEGGY M MEMOLI (NPI# 1053514505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053514505 |
| Entity Type | Individual |
| Full Name | DR. PEGGY M MEMOLI |
| Credential | PHARMD.,R.PH. |
| Practice Address |
1717 N Peters Ln Stratford CT 06614-8921 |
| Practice Telephone | 2033782987 |
| Practice Fax Number | 2033782987 |
| Mailing Telephone | 2033782987 |
| Mailing Fax Number | 2033782987 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
7008 | CT | Pharmacy Service Providers |
| Street Address |
1717 N PETERS LN |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942402177 | Gene A Memoli Jr. | Pharmacist | 1717 N Peters Ln, Stratford, CT 06614-8921 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524584 | Anshu Chen | Pharmacist | 290 Box Mountain Dr, Vernon, CT 06066-6309 | 2019-08-24 |
| 1841654225 | Ramalakshmi Devadi | Pharmacist | 1035 Washington Blvd, Stamford, CT 06901-2204 | 2016-04-11 |
| 1013293851 | Alec Theis | Pharmacist | 3265 Berlin Tpke, T1802, Newington, CT 06111-5101 | 2011-10-25 |
| 1457588220 | Maria A Summa | Pharmacist | 114 Woodland Street Department of Pharmacy, Saint Francis Hospital and Medical Center, Hartford, CT 06105 | 2009-06-18 |
| 1609990159 | Lorna Zammett | Pharmacist | 112 Medford St, Bristol, CT 06010-3683 | 2007-03-19 |
| 1528192812 | David Nederhood | Pharmacist | 55 Northwood Dr, Guilford, CT 06437-1127 | 2007-03-16 |
| 1518021138 | Craig Ian Coleman | Pharmacist | 80 Seymour St # Cb309, Hartford Hospital, Hartford, CT 06102-8000 | 2006-12-20 |
| 1053474619 | Fei Wang | Pharmacist | 79 Retreat Ave, Adult Primary Care Practice, Hartford, CT 06106-2527 | 2006-12-18 |
| 1285727354 | Richard Lawrence Kubarek | Pharmacist | 114 Beebe Hill Rd, Falls Village, CT 06031-1612 | 2006-10-02 |
| 1700996733 | Jaime L Correia | Pharmacist | 555 Willard Ave # 119, Newington, CT 06111-2631 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.