AVON MEDICAL PHARMACY (NPI# 1053513119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053513119 |
| Entity Type | Organization |
| Organization Name | AVON MEDICAL PHARMACY |
| Other Organization Name | ARROW PRESCRIPTION CENTER #11 |
| Practice Address |
500 Albany Avenue Arrow Prescription Center #11 Hartford CT 06120 |
| Practice Telephone | 8605245304 |
| Practice Fax Number | 8605245836 |
| Mailing Telephone | 8605245304 |
| Mailing Fax Number | 8605245836 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANGELO DEFAZIO (PRESIDENT CEO) |
| Authorized Official Telephone | 8605700543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 01698 | CT | Suppliers |
| X | 333600000X | Pharmacy | 01698 | CT | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
01698 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NPI | 1134128838 | 01 |
| Other Name | Type Code |
|---|---|
| Arrow Prescription Center #11 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | AVON MEDICAL PHARMACY, INC. | 500 Farmington Ave, Hartford, CT 06105 |
| Street Address |
500 ALBANY AVENUE ARROW PRESCRIPTION CENTER #11 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
| 1609056563 | Courtney Stewart | Dental Hygienist | 500 Albany Avenue, Hartford, CT 06120 | 2007-11-08 |
| 1740489434 | Community Health Services | Dentist | 500 Albany Avenue, Hartford, CT 06120-2508 | 2007-07-13 |
| 1205955051 | Meagan M O'hanlon II | Counselor | 500 Albany Avenue, Hartford, CT 06120 | 2007-03-29 |
| 1992824759 | Craig A Williams | Dental Hygienist | 500 Albany Avenue, Hartford, CT 06120 | 2007-03-29 |
| 1588783641 | Irving J Buchbinder | Podiatrist | 500 Albany Avenue, Hartford, CT 06120 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664770 | Amy Rodriguez | Social Worker | 2550 Main Street, Hartford, CT 06120 | 2013-09-03 |
| 1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
| 1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
| 1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
| 1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| 1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
| 1841301876 | Community Renewal Team, Inc. | Clinic/Center | 330 Market Street, Hartford, CT 06120 | 2006-08-31 |
| 1548803844 | Courtney Anne Barnes | Social Worker | 330 Market St, Hartford, CT 06120 | 2019-10-20 |
| 1033629712 | Andrea Cecilia North | Social Worker | 500 Albany Ave, Hartford, CT 06120 | 2017-10-06 |
| Find all providers in zip 06120 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405485 | Hanger Medical | Durable Medical Equipment & Medical Supplies | 100 Retreat Ave Ste 800, Hartford, CT 06106-2528 | 2020-07-29 |
| 1083233779 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 331 Wethersfield Ave Rm 149, Hartford, CT 06114-1420 | 2020-04-13 |
| 1689184350 | Jamaro Edwards | Durable Medical Equipment & Medical Supplies | 1465 Albany Ave, Hartford, CT 06112-2110 | 2017-10-06 |
| 1962928093 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 56 Coventry St Ste B, Hartford, CT 06112-1524 | 2017-08-21 |
| 1740727577 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 45 Wadsworth St Ste P, Hartford, CT 06106-7108 | 2017-01-31 |
| 1952646739 | Hartford Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 469 Park St, Hartford, CT 06106-1519 | 2012-12-04 |
| 1417243452 | Lcse Services LLC | Durable Medical Equipment & Medical Supplies | 241 Asylum St, Hartford, CT 06103-1515 | 2011-06-28 |
| 1528367182 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1135 Us Highway 231 S., Hartford, KY 42347-1872 | 2011-03-22 |
| 1073715140 | Arrow Prescription Center #12 | Durable Medical Equipment & Medical Supplies | 100 Woodland Street, Hartford, CT 06105 | 2007-06-01 |
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| Find all providers in HARTFORD | ||||
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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.