STACEY LAUREN OLIVETO (NPI# 1992247555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992247555 |
| Entity Type | Individual |
| Full Name | STACEY LAUREN OLIVETO |
| Credential | PHARMD |
| Practice Address |
930 N Colony Rd Wallingford CT 06492-2471 |
| Practice Telephone | 2032653942 |
| Practice Fax Number | 8444116449 |
| Mailing Telephone | 2032653942 |
| Mailing Fax Number | 8444116449 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
11092 | CT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE PHARMACIST LICENSE | 11092 | 01 |
| Street Address |
930 N COLONY RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578582508 | Stop and Shop Supermarket Co LLC | Pharmacy | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2006-07-19 |
| 1346734191 | Mark Cooney | Pharmacist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2018-06-15 |
| 1366983983 | Daniel Rocki | Pharmacist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2017-03-15 |
| 1578005062 | Chad Fuggi | Pharmacist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2016-11-15 |
| 1700328366 | Elizabeth Hermenegildo | Pharmacist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2016-11-14 |
| 1942457320 | Tlc Eye Care, LLC | Optometrist | 930 N Colony Rd, Suite I, Wallingford, CT 06492-2471 | 2008-08-27 |
| 1558518936 | Visionary Eyecare | Technician/Technologist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2008-08-27 |
| 1003022377 | Terri L Cyr | Optometrist | 930 N Colony Rd, Suite I, Wallingford, CT 06492-2471 | 2007-05-15 |
| 1164567921 | Linda Caliolo | Optometrist | 930 N Colony Rd, Suite I, Wallingford, CT 06492-2471 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578005062 | Chad Fuggi | Pharmacist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2016-11-15 |
| 1700328366 | Elizabeth Hermenegildo | Pharmacist | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2016-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454980 | Natasha Stroedecke | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-07-09 |
| 1518583780 | Ludwig V Rosiclair | Pharmacist | 21 Grand St, Hartford, CT 06106-1541 | 2020-06-23 |
| 1992357719 | Gina Marie Bliss | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-07-11 |
| 1952953036 | Melanie Kathleen Cullen | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-07-10 |
| 1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
| 1821656083 | Jessica Elaine Bootle | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-06-03 |
| 1609433580 | Taylor Harkness | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-05-25 |
| 1679035323 | Chase Austin Board | Pharmacist | 111 Wakelee Ave, Ansonia, CT 06401-1151 | 2019-04-02 |
| 1205316668 | Sandra N/a Daniell-medina | Pharmacist | 91 Northwest Dr, Plainville, CT 06062 | 2018-08-15 |
| 1932610789 | Janie Gray | Pharmacist | 224 Salem Tpke, Norwich, CT 06360-6455 | 2017-10-19 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on STACEY LAUREN OLIVETO.
| 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.