BURGDORF PHARMACY INC (NPI# 1063410389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063410389 |
| Entity Type | Organization |
| Organization Name | BURGDORF PHARMACY INC |
| Other Organization Name | ARRON PRESCRIPTION CENTER #13 |
| Practice Address |
131 Coventry Street 2nd Fl Hartford CT 06112 |
| Mailing Address |
500 Farmington Ave Hartford CT 06105-3106 |
| Practice Telephone | 8602862766 |
| Practice Fax Number | 8602862981 |
| Mailing Telephone | 8605700543 |
| Mailing Fax Number | 5605700529 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANGELO DEFAZIO (PRESIDENT CEO) |
| Authorized Official Telephone | 8605700543 |
| Authorized Official Credential | RPH PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 01571 | CT | Suppliers |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | CT | Suppliers | |
| X | 335E00000X | Prosthetic/Orthotic Supplier | CT | Suppliers | |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
01571 | CT | Suppliers |
| X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
CT | Suppliers | |
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
CT | Suppliers | |
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
CT | Suppliers | |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
01571 | CT | Suppliers |
| X | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
01571 | CT | Suppliers |
| X | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
01571 | CT | Suppliers |
| X | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
01571 | CT | Suppliers |
| X | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
01571 | CT | Suppliers |
| X | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
01571 | CT | Suppliers |
| X | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
01571 | CT | Suppliers |
| X | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
01571 | CT | Suppliers |
| Other Name | Type Code |
|---|---|
| Arron Prescription Center #13 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811199979 | Burgdorf Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 131 Coventry Street, 2nd Fl, Hartford, CT 06112 | 2007-06-01 |
| Street Address |
131 COVENTRY STREET 2ND FL |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693833 | Shaina Rodrigues | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, Burgdorf Clinic, Hartford, CT 06112 | 2017-04-13 |
| 1033566716 | Lakshmi Kavitha Kalluri | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, Burgdorf/fleet Medical Centre, Hartford, CT 06112 | 2016-05-23 |
| 1750738860 | Deepthi Kodali | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, Burgdorf Clinic Burgdorf / Fleet Medical Center, Hartford, CT 06112 | 2016-05-18 |
| 1023427911 | Amarpreet Sanghera | Internal Medicine | 131 Coventry Street, Burgdorf/fleet Medical Center, Hartford, CT 06112 | 2014-08-05 |
| 1811199979 | Burgdorf Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 131 Coventry Street, 2nd Fl, Hartford, CT 06112 | 2007-06-01 |
| 1891705315 | Anne H Flitcraft | Neuromusculoskeletal Medicine & OMM | 131 Coventry Street, Burgdorf Clinic 2nd Floor - Administration, Hartford, CT 06112 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
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|---|---|---|---|---|
| 1700365939 | Genoa Healthcare, LLC | Pharmacy | 43 Woodland St Ste G100, Hartford, CT 06105-2363 | 2018-08-08 |
| 1194264820 | Hartford Pharmacy II Inc | Pharmacy | 57 Park St, Hartford, CT 06106-2520 | 2017-02-14 |
| 1467991190 | Hartford Pharmacy IIi Inc | Pharmacy | 33 New Britain Ave, Hartford, CT 06106-3306 | 2017-02-14 |
| 1275070872 | Maple Pharmacy LLC | Pharmacy | 697 Maple Ave, Hartford, CT 06114-1856 | 2017-01-21 |
| 1851634109 | Hartford Pharmacy LLC | Pharmacy | 112 S 4th Ave, Hartford, AL 36344-1615 | 2013-04-04 |
| 1881914471 | Innova Pharmacy, Inc. | Pharmacy | 40 Weston St, Suite G, Hartford, CT 06120-1538 | 2010-06-04 |
| 1174069413 | Healthcare LLC | Pharmacy | 740 Maple Ave, Hartford, CT 06114-2314 | 2017-01-10 |
| 1346271491 | K Mart Corp | Pharmacy | 1275 Bell Ave, Hartford, WI 53027-1976 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1740771021 | Valisurerx LLC | Pharmacy | 5 Science Park Ste 1, New Haven, CT 06511-1989 | 2018-05-23 |
| 1386141463 | Danbury Pharmacy LLC | Pharmacy | 35 White St Unit 5, Danbury, CT 06810-6678 | 2018-04-06 |
| 1093228306 | Optum Infusion Services 500, Inc. | Pharmacy | 33 N Plains Industrial Rd, Wallingford, CT 06492-5841 | 2017-11-08 |
| 1770026726 | Phillip Hein | Pharmacy | 1835 Post Rd E, Westport, CT 06880-5666 | 2016-11-23 |
| 1578012324 | Community Health Pharmacy LLC | Pharmacy | 210 Dixwell Ave, New Haven, CT 06511-3416 | 2016-09-21 |
| 1891146791 | Orange Markets LLC | Pharmacy | 259 Bull Hill Ln, Orange, CT 06477-3212 | 2016-06-22 |
| 1487017067 | Connecticut Pharmacy Direct LLC | Pharmacy | 10 Fairfield Blvd Unit C, Wallingford, CT 06492-5903 | 2016-04-01 |
| 1346602489 | Milford Markets LLC | Pharmacy | 935 Boston Post Rd, Milford, CT 06460-3531 | 2016-03-28 |
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
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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.