Individual provider · Type 1 NPI
Justin Ma
Pharmacist · Bridgeport, CT
Practice location
1407 Fairfield Ave
Bridgeport, CT 06605-1928
Mailing address
1196 Old Country Rd
Riverhead, NY 11901-2066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 063971 (NY) |
| Pharmacist | 183500000X | 15467 (CT) |
Pharmacist: 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…
4 other providers at this address
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About NPI 1972121010
Justin Ma's National Provider Identifier is 1972121010, issued on Jul 6, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 15, 2026.