ILLENE CHELSEA DEZFULI PHARMD
NPI 1164208393
Pharmacist - Ambulatory Care in East Lyme, CT

Q: What is Illene Dezfuli's NPI number?

The NPI number for Illene Dezfuli is 1164208393. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Illene Dezfuli's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

Q: When was this NPI record last updated?

The NPPES record for Illene Dezfuli was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2023

204 BUOY LN, EAST LYME, CT 06333(203) 688-9450 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Illene Chelsea Dezfuli Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLENE CHELSEA DEZFULI PHARMD (NPI 1164208393) is an individual ambulatory care provider in East Lyme, Connecticut, licensed in Connecticut (0016422) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1164208393

Entity TypeIndividualFemale

Primary Taxonomy1835P2201X

Provider Legal NameILLENE CHELSEA DEZFULICredential: PHARMD

Location Address204 BUOY LNEast Lyme, CT 06333-1777

Mailing Address204 Buoy LnEast Lyme, CT 06333-1777

Phone(203) 688-9450

Sole ProprietorNo

Enumeration DateSeptember 5, 2023

NPPES CertifiedSeptember 5, 2023

✔ NPI 1164208393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers

Taxonomy Code1835P2201X

License✔ Licensed in CT · 0016422

Definition

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.

Also ListedPharmacistTaxonomy 183500000X · License 0016422 (CT)

204 BUOY LN, East Lyme, CT 06333

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illene Dezfuli's NPI number?

The NPI number for Illene Dezfuli is 1164208393. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Illene Dezfuli located?

Illene Dezfuli practices at 204 Buoy Ln, East Lyme, CT 06333. The listed phone number is (203) 688-9450.

What is Illene Dezfuli's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Illene Dezfuli was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.