JUSTIN MA
NPI 1972121010
Pharmacist in Bridgeport, CT

Active since July 06, 2020
1407 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 367-4571 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2026, Jul 6, 2020 (2 updates tracked since 2020).

About Justin Ma NPPES

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

JUSTIN MA (NPI 1972121010) is an individual pharmacist in Bridgeport, Connecticut, licensed in New York (063971) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1972121010
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJUSTIN MA
Location Address1407 FAIRFIELD AVEBridgeport, CT 06605-1928
Mailing Address1196 Old Country RdRiverhead, NY 11901-2066 · (631) 208-0239
Sole ProprietorNo
Enumeration DateJuly 6, 2020
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1972121010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in NY · 063971 Licensed in CT · 15467
Definition

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.

1407 FAIRFIELD AVE, Bridgeport, CT 06605

Other Providers at the Same Location NPPES 4

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

Pharmacist
1407 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Pharmacy (Community/Retail Pharmacy)
1407 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Pharmacy (Long Term Care Pharmacy)
1407 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Pharmacist
1407 FAIRFIELD AVE
BRIDGEPORT, CT 06605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972121010, enumerated as an "individual" on July 06, 2020.

The provider is located at 1407 FAIRFIELD AVE BRIDGEPORT, CT 06605 and the phone number is (203) 367-4571.

Pharmacist with taxonomy code 183500000X.