TARGET (NPI# 1104295054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295054 |
| Entity Type | Organization |
| Organization Name | TARGET |
| Practice Address |
474 Chamberlain Hwy Meriden CT 06451-1818 |
| Practice Telephone | 2036346060 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | ATHENA PETERSON (PHARMACIST) |
| Authorized Official Telephone | 2032171562 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0013072 | CT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927069 | Target | Pharmacist | 6944 Lakeway St, Ypsilanti, MI 48197-1052 | 2015-11-19 |
| 1093183113 | Target | Clinic/Center | 2228 S Sanctuary Dr, New Berlin, WI 53151-1920 | 2015-09-05 |
| 1841666328 | Target | Community/Behavioral Health | 14391 Chantilly Crossing Lane, Chantilly, VA 20151 | 2015-08-19 |
| 1336540301 | Target | Pharmacy | 1040 Deer Ridge Dr, Baltimore, MD 21210-2558 | 2014-09-10 |
| 1164781167 | Target | Pharmacist | 2840 Ash Ridge Dr, Beavercreek, OH 45434-5895 | 2012-05-10 |
| 1215306642 | Target | Pharmacy | 3150 Business Park Dr, Vista, CA 92081-8520 | 2015-09-15 |
| 1356719454 | Target | Pharmacist | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2015-09-04 |
| 1336525054 | Target | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2015-08-04 |
| 1104200203 | Target | Pharmacy | 15922 Crain Hwy, Brandywine, MD 20613-8000 | 2015-07-17 |
| 1447637186 | Target | Pharmacy | 30333 Southfield Rd, Southfield, MI 48076-1352 | 2015-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARGET | 500 S Hicks Rd, Palatine, IL 60067-6943 |
| Vermont Business Registrations | TARGET - R.A.D. | Rfd #1, Newport, VT 05855 |
| Indiana Business Entities | TARGET 1 MARKETING LLC | 597 Country Club Estates Dr., Corydon, IN 47112 |
| Colorado Business Entities | Target 1, LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| New York State Corporations | TARGET 10 NICHE MARKETING & PUBLIC RELATIONS, INC. | 522 West 50th Street, #c2, New York, New York 10019 |
| Washington State Corporations | TARGET 13, L.L.C. | 1316 E College Way, Mount Vernon, WA 98273-5619 |
| Colorado Business Entities | Target 2 LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| Oregon Corporations, Companies and Business Names | TARGET 2004, L.L.C. | 3136 Ne Jackson Rd Lp, Hillsboro, OR 97124 |
| New York State Corporations | TARGET 250, INC. | Hippodrome Ctr 4th Floor, 1120 Avenue of The Americas, New York, New York 10036 |
| Massachusetts Corporations | TARGET 250, INC. | 1170 Headquarters Plaza, Morristown, NJ 07960 |
| Street Address |
474 CHAMBERLAIN HWY |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528080124 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2006-07-24 |
| 1194196170 | Athena Peterson | Pharmacist | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-10-15 |
| 1730457938 | Rebecca Vitale | Pharmacist | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2011-12-02 |
| 1659650497 | Adam Bruce Plumley | Pharmacy Technician | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2011-08-10 |
| 1881988152 | Maggie Jean Cross | Pharmacist | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2011-06-04 |
| 1407908981 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1669851978 | Fw Huston Pharmacy of Meriden | Pharmacy | 7210 Ks-4 Highway, D, Meriden, KS 66512 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 1568072627 | Corporate Pharmacy Corp | Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | 2020-08-04 |
| 1669094439 | Cx Pharmacy Corp | Pharmacy | 110 Commerce Dr Ste 250, Shelton, CT 06484-6259 | 2020-05-14 |
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TARGET.
| 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.