WENDY ROCCISANO BRODY (NPI# 1851566426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851566426 |
| Entity Type | Individual |
| Full Name | WENDY ROCCISANO BRODY |
| Credential | R.PH. |
| Practice Address |
203 Kennedy Dr Putnam CT 06260-1628 |
| Practice Telephone | 8609637230 |
| Practice Fax Number | 8609286298 |
| Mailing Telephone | 8609637230 |
| Mailing Fax Number | 8609286298 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 24236 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 8997 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043681737 | Wendy Re Brody | Pharmacist | 6207 Lake Ariana Ave, San Diego, CA 92119-3506 | 2015-10-07 |
| 1851465454 | Wendy A. Brody | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-17 |
| Street Address |
203 KENNEDY DR |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765781 | Ricky Phongsa | Pharmacist | 203 Kennedy Dr, Putnam, CT 06260-1628 | 2017-08-07 |
| 1255855425 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 203 Kennedy Dr, Putnam, CT 06260-1628 | 2017-07-31 |
| 1780975508 | Anna Desmarais | Pharmacist | 203 Kennedy Dr, Putnam, CT 06260-1628 | 2011-04-27 |
| 1750671202 | Amanda Petrarca | Pharmacist | 203 Kennedy Dr, Putnam, CT 06260-1628 | 2011-04-17 |
| 1689818858 | Erin M Lopomo | Pharmacist | 203 Kennedy Dr, Putnam, CT 06260-1628 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| 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 |
|---|---|---|---|---|
| 1609912955 | Amy Beth Lawton | Pharmacist | 171 Providence St, Putnam, CT 06260-1511 | 2007-01-30 |
| 1215580535 | Erica Lee Parks | Pharmacist | 251 Kennedy Dr, Putnam, CT 06260-1628 | 2019-07-17 |
| 1629540703 | Doris Louise Arundel | Pharmacist | 57 Providence Pike, Putnam, CT 06260-2413 | 2018-12-29 |
| 1144714056 | Richard N Henry Jr. | Pharmacist | 60 Providence Turnpike, Putnam, CT 06260-2410 | 2018-06-15 |
| 1609369974 | Susan Marie Mcdevitt | Pharmacist | 60 Providence Turnpike, Putnam, CT 06260 | 2018-06-12 |
| 1346765781 | Ricky Phongsa | Pharmacist | 203 Kennedy Dr, Putnam, CT 06260-1628 | 2017-08-07 |
| 1053768226 | Celeste Frappier | Pharmacist | 57 Providence Pike, Putnam, CT 06260-2413 | 2016-05-18 |
| 1063898237 | Linda Camirand | Pharmacist | 625 School St, Putnam, CT 06260-2424 | 2015-08-10 |
| 1639596414 | Christina Le | Pharmacist | 625 School St, Putnam, CT 06260-2424 | 2014-03-18 |
| 1316369242 | Karl Heilemann | Pharmacist | 625 School St, Putnam, CT 06260-2424 | 2014-01-12 |
| Find all providers in PUTNAM | ||||
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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.