NELLY BELLA MALANGKO (NPI# 1699204628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699204628 |
| Entity Type | Individual |
| Full Name | NELLY BELLA MALANGKO |
| Practice Address |
2000 N Main St Waterbury CT 06704-2364 |
| Mailing Address |
18 Rocklyn Dr West Simsbury CT 06092-2627 |
| Practice Telephone | 2035913081 |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2017-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH236591 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PCT0013567 | CT | Pharmacy Service Providers |
| Street Address |
2000 N MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619071537 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 N Main St, Waterbury, CT 06704-2364 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1447613807 | Artim Selmani | Pharmacist | 259 Courtland Ave, Waterbury, CT 06705-2416 | 2016-04-03 |
| 1790048676 | Rodrique Cooley | Pharmacist | 175 Stonybrook Rd, Waterbury, CT 06705-3711 | 2012-06-16 |
| 1134497191 | Julia Ngozi Oparaocha | Pharmacist | 1420b Meriden Rd, Waterbury, CT 06705-3632 | 2011-12-06 |
| 1841573714 | Jalpa Ramesh Patel | Pharmacist | 1405 E Main St Ste 3, Waterbury, CT 06705 | 2011-09-27 |
| 1831472117 | Michael Lewis | Pharmacist | 855 Lakewood Rd Ste 100, Waterbury, CT 06704-5408 | 2011-09-23 |
| 1083907950 | John E Deldebbio Jr. | Pharmacist | 277 Fairfield Ave, Waterbury, CT 06708-4068 | 2011-05-25 |
| 1083904742 | Vincent F Longo Jr. | Pharmacist | 1030 Wolcott St, Waterbury, CT 06705-1316 | 2011-04-14 |
| 1225336837 | Denis J Oconnor | Pharmacist | 141 Meriden Rd, Waterbury, CT 06705-1937 | 2011-03-05 |
| Find all providers in WATERBURY | ||||
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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.