PIONEER HEALTH COMPOUNDING PHARMCACY


Address: 520 Hartford Tpke, Suite D, Vernon, CT 06066-5037
Phone: 8609790089

PIONEER HEALTH COMPOUNDING PHARMCACY (NPI# 1316062904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316062904
Entity Type Organization
Organization Name PIONEER HEALTH COMPOUNDING PHARMCACY
Practice Address 520 Hartford Tpke
Suite D
Vernon
CT 06066-5037
Practice Telephone 8609790089
Practice Fax Number 8609890091
Mailing Telephone 8609790089
Mailing Fax Number 8609890091
Enumeration Date 2007-03-20
Last Update Date 2020-08-22
Authorized Official Name EUGENE GRESH JR. (OWNER)
Authorized Official Telephone 8609790089
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PCY.1828 CT Suppliers

Office Location

Street Address 520 HARTFORD TPKE
SUITE D
City VERNON
State CT
Zip Code 06066-5037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396745816 Michael R Sharon Internal Medicine 520 Hartford Tpke, Vernon, CT 06066-5042 2005-07-27
1326403262 Eugene W Gresh Jr. Pharmacist 520 Hartford Tpke, Unit D, Vernon, CT 06066-5037 2015-12-18
1821490004 Your Family Health Solutions LLC Clinic/Center 520 Hartford Tpke, Building B, Suite V, Vernon, CT 06066-5037 2014-09-19
1003195785 Elise Winter Family Medicine 520 Hartford Tpke, Suite M, Vernon, CT 06066-5037 2011-08-11
1952315632 Todd A Bickmore Family Medicine 520 Hartford Tpke, Suite M, Vernon, CT 06066-5037 2006-07-28
1073547063 Tami L Sarra Physical Therapist 520 Hartford Tpke, Vernon, CT 06066-5037 2006-07-10
1881644631 Susan Charmaine Izzo Nurse Practitioner 520 Hartford Tpke, Suite N, Vernon, CT 06066-5037 2006-05-11
1285603324 Girish L Sharma Internal Medicine 520 Hartford Tpke, Suite P, Vernon, CT 06066-5037 2006-03-14
1881662443 Kristin Giannini Family Medicine 520 Hartford Tpke, Suite N, Vernon, CT 06066-5037 2006-03-09
1013985944 Andrea Sadowski Family Medicine 520 Hartford Tpke, Suite N, Vernon, CT 06066-5037 2006-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659992204 Kumeh Bestman Social Worker 41 Jeff Road, Vernon, CT 06066 2020-05-05
1114567922 Irina Bratan Nurse Practitioner 35 Talcottvile Road, Vernon, CT 06066 2020-01-09
1457833899 Jessica Elizabeth Navallil Pharmacist 188 Union Street, Vernon, CT 06066 2018-09-02
1528557709 Andre Spence Counselor 66 Orchard St, Vernon, CT 06066 2018-05-03
1992207468 Myeyedr Optometry of Connecticut, LLC Optometrist 400-1 Talcottville Rd, Vernon, CT 06066 2018-03-01
1811425754 Patricia Cosgrove Barresi Occupational Therapy Assistant 1253 Hartford Turnpike, Vernon, CT 06066 2017-05-23
1922539592 Ctuc01 Clinic/Center 179 Talcottville Rd, Vernon, CT 06066 2017-03-24
1558804070 First Choice Health Centers, Inc. Clinic/Center 94 Union Sreet, 2nd Floor, Vernon, CT 06066 2016-12-01
1235685504 Lotus Behavioral Consultation Day Training, Developmentally Disabled Services 3 Raymond Street, Vernon, CT 06066 2016-08-28
1891179537 Heather Deal Nurse Practitioner 347 Hartford Turnpike, Vernon, CT 06066 2015-07-13
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467905562 Jim B Spears Inc Pharmacy 1720 Hillcrest Dr, Vernon, TX 76384-4099 2016-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568987774 Enfield Compounding Center LLC Pharmacy 139 Hazard Ave Unit 15, Enfield, CT 06082-4585 2017-08-08
1245685536 Grandhi LLC Pharmacy 15 Corporate Dr Ste 1-1, Trumbull, CT 06611-1351 2016-04-25
1477574424 Pharmagen Laboratories Pharmacy 30 Buxton Farms Road, Suite 110, Stamford, CT 06905 2006-07-22
1649251372 Bunker Hill Pharmacy Inc Pharmacy 256 Bunker Hill Ave, Waterbury, CT 06708-2253 2005-11-09
1689676074 Jewett City Pharmacy Pharmacy 78 Main St, Jewett City, CT 06351-2226 2005-08-15
1073130787 Wassef LLC Pharmacy 535 Boston Post Rd, Old Saybrook, CT 06475-1506 2020-06-29
1225482490 Medical Center Pharmacy Inc Pharmacy 1100 Sherman Ave, Hamden, CT 06514 2016-04-14
1588902563 Ct Healthcare Services LLC Pharmacy 46 Broad St, New Britain, CT 06053-4305 2013-01-24
1376840785 Custom Compounding LLC Pharmacy 3 Maple St, Kent, CT 06757-1711 2011-02-21
1740374156 Turrill Drug Inc Pharmacy 31 Old Route 7, Brookfield, CT 06804-1711 2006-10-03
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Competitor

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City VERNON
Zip Code 06066

Improve Information

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Dataset Information

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.

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