MADELINE ACQUILANO (NPI# 1962023408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962023408 |
Entity Type | Individual |
Full Name | MADELINE ACQUILANO |
Credential | PHARMD |
Practice Address |
2800 East Main St Bridgeport CT 06606 |
Mailing Address |
32 Bernadette Ln Durham CT 06422-2822 |
Practice Telephone | 2035766000 |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PCT.0014910 | CT | Pharmacy Service Providers |
Street Address |
2800 EAST MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
1164728325 | Irene Rivera | Social Worker | 5 Pinepoint Drive, Bridge Port, CT 06606 | 2011-02-07 |
Find all providers in zip 06606 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925196 | Connie Cholewczynski | Pharmacist | 267 Grant Street, Bridgeport, CT 06610 | 2019-08-01 |
1083273916 | Nicole Marie Del Toro Pagan | Pharmacist | 267 Grant St, Pharmacy Department, Bridgeport, CT 06610 | 2019-06-13 |
1184282279 | Glenn John Buenviaje Beloso | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2019-06-03 |
1851959175 | Carolyn Wiesenfeld | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2805 | 2019-06-01 |
1184281396 | Arvind Bhatt | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2019-05-22 |
1326605510 | Scott Collins | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2019-05-22 |
1124685417 | Paul Ahearn | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2805 | 2019-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164056776 | Kelly A Frazier | Pharmacist | 2 Stonemeadow Ln, Collinsville, CT 06019-3733 | 2020-02-24 |
1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
1225697865 | Kristin Waters | Pharmacist | 55 York St, New Haven, CT 06511-5653 | 2019-06-07 |
1679131924 | Alex Robert Dozier | Pharmacist | 340 Pumpkin Hill Rd, Ledyard, CT 06339-1947 | 2019-06-02 |
1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
1063079358 | Noura Jeblawi | Pharmacist | 11 Saint John St Unit C11, North Haven, CT 06473-2371 | 2019-05-22 |
1710498589 | Brandon Kyle Martinez | Pharmacist | 200 Andrews Way Apt 206, South Windsor, CT 06074-6995 | 2017-10-19 |
1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
1558663377 | Sukhvir Kaur | Pharmacist | 229 Trumbull St, Hartford, CT 06103-1501 | 2010-11-30 |
1124331756 | Myla Anderson | Pharmacist | 293 3rd Ave, West Haven, CT 06516-5404 | 2010-07-25 |
Find all providers with the same taxonomy |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.