MR. DAVID P MASTRANTUONE (NPI# 1891165171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891165171 |
| Entity Type | Individual |
| Full Name | MR. DAVID P MASTRANTUONE |
| Credential | RPH |
| Practice Address |
883 Paddock Ave Meriden CT 06450-7044 |
| Practice Telephone | 2035990187 |
| Practice Fax Number | 2036302198 |
| Mailing Telephone | 2035990187 |
| Mailing Fax Number | 2036302198 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
5234 | CT | Pharmacy Service Providers |
| Street Address |
883 PADDOCK AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629093794 | Theresa A Blackmer | Social Worker | 883 Paddock Ave, Rushford Center Inc, Meriden, CT 06451-0000 | 2006-07-12 |
| 1235748740 | Alexandra Juchniewicz | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-07-30 |
| 1477193670 | Jillian Bridgette Lode | Student in an Organized Health Care Education/Training Program | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-15 |
| 1518507714 | Leslie Ann Betters | Counselor | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-15 |
| 1134769615 | Rodrigo Fernando Villegas | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1023658564 | Jillian Russell | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1194365833 | Amanda Brail | Student in an Organized Health Care Education/Training Program | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1962042630 | Michael E Cowan Jr. | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1386284040 | Amy Lynn Warzecha | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1285274944 | Rebecca Lauren Shea | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976375 | Teresa Rose Garlick | Pharmacist | 941 Bridgeport Ave Ste M5, Milford, CT 06460-3142 | 2020-06-16 |
| 1205833936 | Charles F Caley | Pharmacist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2005-07-07 |
| 1639789951 | Bobbi Jo Loflin | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-01 |
| 1023661477 | Heather Goodwin | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2019-07-23 |
| 1144783416 | Sera Elizabeth Mcnutt | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2019-04-12 |
| 1477535060 | Chandra Kristin Cooper | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2005-11-18 |
| 1588665285 | Alex A Cardoni | Pharmacist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2005-08-03 |
Please comment or provide details below to improve the information on MR. DAVID P MASTRANTUONE.
| 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.