NORTH STREET PHARMACY (NPI# 1790838365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790838365 |
| Entity Type | Organization |
| Organization Name | NORTH STREET PHARMACY |
| Other Organization Name | FISCELLA INC. |
| Practice Address |
1043 North Street Greenwich CT 06831-2701 |
| Practice Telephone | 2038692130 |
| Practice Fax Number | 2038699227 |
| Mailing Telephone | 2038692130 |
| Mailing Fax Number | 2038699227 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | MR. PAUL ANDREW FISCELLA (PHARMACY MANAGER OWNER) |
| Authorized Official Telephone | 12038692130 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0741 | CT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NABP# | 0711437 | 01 |
| CT | STATE LICENSE | PCY0000741 | 01 |
| Other Name | Type Code |
|---|---|
| FISCELLA INC. | Doing Business As Name - Organization |
| Street Address |
1043 NORTH STREET |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824178 | Ashley Meilin Fan | Pharmacist | 1043 North Street, Greenwich, CT 06831 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| 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 |
|---|---|---|---|---|
| 1215481775 | Megan Laura Valentine | Pharmacist | 1165 State Route 29, Greenwich, NY 12834-6109 | 2016-08-12 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1184068827 | Spiros G Orfanos | Pharmacist | 3 Riversville Rd, Greenwich, CT 06831-3627 | 2013-04-24 |
| 1376862698 | Sze Scott K Wong | Pharmacist | 13 N. Water St, Greenwich, CT 06830 | 2010-05-26 |
| 1194048207 | Annabelle Bink | Pharmacist | 1169 State Route 29, Greenwich, NY 12834-6131 | 2010-03-03 |
| 1083946255 | Robert Stein | Pharmacist | 183 Rabbit Rd, Greenwich, NY 12834-2812 | 2010-02-12 |
| 1699952481 | Marc John Mercurio | Pharmacist | 1169 Route 29, Greenwich, NY 12834 | 2008-01-24 |
| 1518030162 | Byram Pharmacy LLC | Pharmacist | 13 N Water St, Greenwich, CT 06830-5814 | 2006-11-15 |
| 1477648467 | Vismar Inc | Pharmacist | 49 Lake Avenue, Greenwich Medical Building, Greenwich, CT 06830 | 2006-10-04 |
| 1649824178 | Ashley Meilin Fan | Pharmacist | 1043 North Street, Greenwich, CT 06831 | 2019-08-01 |
| Find all providers in GREENWICH | ||||
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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.