MILE HILL PHARMACY LLC (NPI# 1023184785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023184785 |
| Entity Type | Organization |
| Organization Name | MILE HILL PHARMACY LLC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
79 East St Rockville CT 06066-3845 |
| Practice Telephone | 8608752507 |
| Practice Fax Number | 8608708160 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-05-30 |
| Authorized Official Name | MICHAEL VETICA (OWNER) |
| Authorized Official Telephone | 8608752507 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 0793 | CT | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000793 | CT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004030383 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0706272 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
79 EAST ST |
| City | ROCKVILLE |
| State | CT |
| Zip Code | 06066-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275023061 | Corner Market & Pharmacy Woodley Gardens LLC | Pharmacy | 1119 Nelson St, Rockville, MD 20850-2030 | 2018-05-16 |
| 1750768461 | Midtown Pharmaceuticals, LLC | Pharmacy | 121 Congressional Ln Ste 101, Rockville, MD 20852-1542 | 2015-05-01 |
| 1720487937 | Cvs Pharmacy Inc. | Pharmacy | 360 Hungerford Dr, Rockville, MD 20850-4167 | 2014-08-14 |
| 1467790139 | Ibex Dead Sea Imports | Pharmacy | 11520 Rockville Pike Ste E, Rockville, MD 20852-2763 | 2013-01-30 |
| 1235233172 | Maryland Cvs Pharmacy LLC | Pharmacy | 2210 Veirs Mill Rd, Rockville, MD 20851-1827 | 2006-09-12 |
| 1851495774 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 1580 Rockville Pike, Rockville, MD 20852-1602 | 2006-09-12 |
| 1902909609 | Hook Superx LLC | Pharmacy | 806 W Ohio St, Rockville, IN 47872-1532 | 2006-09-07 |
| 1992183495 | Vital Rx LLC | Pharmacy | 15200 Shady Grove Rd, Suite 101, Rockville, MD 20850 | 2015-05-15 |
| 1942608922 | Wellbeing Care Pharmacy | Pharmacy | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2014-12-08 |
| 1902127087 | Blue Door Pharmacies | Pharmacy | 15225 Shady Grove Rd, Suite 101, Rockville, MD 20850-3254 | 2010-06-12 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.