DR. NICOLE MONTELLO (NPI# 1346564713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346564713 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MONTELLO |
| Credential | PHARMD |
| Practice Address |
3600 E Main St Waterbury CT 06705-3851 |
| Practice Telephone | 2037579115 |
| Practice Fax Number | 2037571055 |
| Mailing Telephone | 2037579115 |
| Mailing Fax Number | 2037571055 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9746 | CT | Pharmacy Service Providers |
| Street Address |
3600 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615850 | Audrey S Fung | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2005-08-03 |
| 1487268702 | Clarity Eye Care LLC | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2020-09-03 |
| 1073908059 | Costco Wholesale Corporation | Hearing Aid Equipment | 3600 E Main St, Waterbury, CT 06705-3851 | 2015-04-06 |
| 1265826465 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3600 E Main St, Waterbury, CT 06705-3851 | 2015-03-25 |
| 1023269677 | Dana L Shepard Od & Associates Inc | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2008-10-01 |
| 1538339262 | Dana L. Shepard, O.d. and Associates | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2008-03-10 |
| 1679770739 | Richard Altomari | Pharmacist | 3600 E Main St, Waterbury, CT 06705-3851 | 2007-06-29 |
| 1003927856 | Dana Lynn Shepard | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2006-08-31 |
| 1093825606 | Costco Wholesale Corporation | Pharmacy | 3600 E Main St, Waterbury, CT 06705 | 2006-08-30 |
| 1720194764 | Annemarie Vitka Abramson | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| 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.