Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin MA

Individual provider Pharmacist · NPI 1972121010

Justin MA is a Pharmacist in Bridgeport, Connecticut. Licensed in Connecticut and New York. Registered with an NPI since 2020.

Licensed in
CT, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1407 Fairfield Ave
Bridgeport, CT 06605-1928
Phone: (203) 367-4571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 063971 (NY)
Pharmacist Taxonomy 183500000X · Licence 15467 (CT)

Record details

NPI number1972121010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address1196 Old Country Rd, Riverhead, NY 11901-2066

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