AVON MEDICAL PHARMACY INC (NPI# 1134128838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134128838 |
| Entity Type | Organization |
| Organization Name | AVON MEDICAL PHARMACY INC |
| Other Organization Name | ARROW PRESCRIPTION CENTER #11 |
| Practice Address |
500 Albany Ave Hartford CT 06120-2508 |
| Mailing Address |
500 Farmington Ave Hartford CT 06105-3106 |
| Practice Telephone | 8605245304 |
| Practice Fax Number | 8605245836 |
| Mailing Telephone | 8605700543 |
| Mailing Fax Number | 8605700529 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-04-26 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CT | Suppliers | |
| N | 335E00000X | Prosthetic/Orthotic Supplier | CT | Suppliers | |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
01698 | CT | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
CT | Suppliers | |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
CT | Suppliers | |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
CT | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
01698 | CT | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
01698 | CT | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
01698 | CT | Suppliers |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
01698 | CT | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
01698 | CT | Suppliers |
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
01698 | CT | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
01698 | CT | Suppliers |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
01698 | CT | Suppliers |
| Y | 333600000X | Pharmacy | 01698 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004242129 | 05 |
| Other Name | Type Code |
|---|---|
| Arrow Prescription Center #11 | Doing Business As Name - Organization |
| Street Address |
500 ALBANY AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06120-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350324 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-11-11 |
| 1962047498 | Laura Beth Troy | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-11-07 |
| 1699317412 | Oksana Roytburg | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-10-14 |
| 1710537063 | Chengping Wang | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-09-18 |
| 1831749209 | Chedene A Ewart | Social Worker | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-09-17 |
| 1174189039 | Nashka P. Carrion | Social Worker | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-05-16 |
| 1801366646 | Kerin Gilligan | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-12-04 |
| 1194209213 | Maria Elena Slajda | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-09-25 |
| 1487131462 | Deneisha Tamara Lindsay | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-07-23 |
| 1104318088 | Linnea Graziano | Technician | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-06-05 |
| Find all providers in the same location | ||||
| 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 |
| 1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
| 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 |
| Find all providers in zip 06120 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063410389 | Burgdorf Pharmacy Inc | Pharmacy | 131 Coventry Street, 2nd Fl, Hartford, CT 06112 | 2005-07-11 |
| 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 | ||||
Please comment or provide details below to improve the information on AVON MEDICAL PHARMACY INC.
| 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.