NUTMEG PHARMACY MOODUS LLC (NPI# 1124636469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124636469 |
| Entity Type | Organization |
| Organization Name | NUTMEG PHARMACY MOODUS LLC |
| Practice Address |
38 William F Palmer Rd Moodus CT 06469-1131 |
| Mailing Address |
Po Box 540 Higganum CT 06441-0540 |
| Practice Telephone | 8608918142 |
| Mailing Telephone | 8603453607 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | BONNIE L HARRIS (OFFICE MANAGER) |
| Authorized Official Telephone | 8603453607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Nutmeg Pharmacy Moodus LLC | 58 Seaview Avenue, Old Lyme, CT 06371 |
| Street Address |
38 WILLIAM F PALMER RD |
| City | MOODUS |
| State | CT |
| Zip Code | 06469-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875712 | Chestelm Adult Day Services Inc | Clinic/Center | 542 Town Street, Moodus, CT 06469 | 2007-05-02 |
| 1588725345 | Steven M Pear | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-13 |
| 1679663066 | East Haddam Public Schools | Local Education Agency (LEA) | 26 Plains Rd, Moodus, CT 06469 | 2006-10-13 |
| 1528162633 | East Haddam Dental Associates PC | Dentist | 32 William F Palmer Road, Moodus, CT 06469 | 2006-09-11 |
| 1427110048 | Karl Peter Stofko | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-14 |
| 1396147708 | Christopher Petersen | Registered Nurse | 28 Leesville Rd, Moodus, CT 06469-1003 | 2014-09-17 |
| 1720513666 | Wellness Within, LLC | Social Worker | 424 E Haddam Moodus Rd, Moodus, CT 06469-1024 | 2017-04-28 |
| 1982609673 | Chestelm Health Care, Inc | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2005-06-17 |
| 1811437767 | Andrew Lizotte | Physical Therapy Assistant | 534 Town St, Moodus, CT 06469-1101 | 2017-02-26 |
| 1093180762 | Jessica Pandolfe | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2015-12-07 |
| Find all providers in zip 06469 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1093340820 | Frederick Ray Pharmacy LLC | Pharmacy | 26 Falls Rd, Moodus, CT 06469-1262 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898523 | Beacon Pharmacy LLC | Pharmacy | 42 Windsor Ave, Vernon, CT 06066-2438 | 2019-12-19 |
| 1740658889 | Evine LLC | Pharmacy | 54 Tuttle Pl, Middletown, CT 06457-1863 | 2015-09-07 |
| 1992189146 | Wassef LLC | Pharmacy | 535 Boston Post Rd, Old Saybrook, CT 06475-1506 | 2015-07-17 |
| 1558704072 | Care 4 U Pharmacy, Inc. | Pharmacy | 216 Christian Ln, Suite B, Berlin, CT 06037-1450 | 2013-04-15 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1881791093 | Value Healthcare Services LLC | Pharmacy | 525 Knotter Dr, Cheshire Industrial Park, Cheshire, CT 06410-1100 | 2006-09-20 |
| 1851401814 | James L. Trifiro | Pharmacy | 1300 Hopmeadow St, Simsbury, CT 06070-1411 | 2006-08-30 |
| 1336170349 | Partners of Connecticut, LLC | Pharmacy | 6 Thompson Rd, East Windsor, CT 06088-9626 | 2006-07-06 |
| 1629077912 | Arrow Prescription Center 14 Inc | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2005-07-19 |
| 1780689836 | Masonic Healthcare Center | Pharmacy | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2005-06-16 |
| 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.