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LYDIA DERIENZO PHARMD
NPI 1265084487
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New London, CT

Active since July 09, 2019
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Derienzo Pharmd NPPES

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

LYDIA DERIENZO PHARMD (NPI 1265084487) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in New London, Connecticut, licensed in Connecticut (1108091) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1265084487
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameLYDIA DERIENZOCredential: PHARMD
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address100 Bailey RdNorth Haven, CT 06473-2611
Phone(860) 442-0711
Sole ProprietorNo
Enumeration DateJuly 9, 2019
✔ NPI 1265084487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in CT · 1108091
Definition
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.
365 MONTAUK AVE, New London, CT 06320
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MR. STEPHEN DANIEL SOCHA FNP-C
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

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 Lydia Derienzo's NPI number?

The NPI number for Lydia Derienzo is 1265084487. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Lydia Derienzo located?

Lydia Derienzo practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Lydia Derienzo's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Lydia Derienzo was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.