CONNECTICUT CVS PHARMACY, LLC (NPI# 1316177389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316177389 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY# 04473 |
| Practice Address |
15 Chesterfield Rd East Lyme CT 06333-1730 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 8607390276 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008004261 | 05 | |
| NCPDP | 0721541 | 01 | |
| CT | DME | 008004234 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 04473 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| 1912246414 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 965 White Plains Rd, Trumbull, CT 06611-4502 | 2013-02-05 |
| Street Address |
15 CHESTERFIELD RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619924149 | M&m Industries LLC | Durable Medical Equipment & Medical Supplies | 15 Chesterfield Rd, Flanders Plaza, East Lyme, CT 06333-1249 | 2006-05-29 |
| 1457713950 | Kerrie Winfrey | Pharmacist | 15 Chesterfield Rd, East Lyme, CT 06333-1730 | 2016-03-23 |
| 1194185116 | Brian Mark Pochal | Pharmacist | 15 Chesterfield Rd, East Lyme, CT 06333-1730 | 2016-03-03 |
| 1720265838 | Patricia Anne Bradley | Social Worker | 15 Chesterfield Rd, East Lyme, CT 06333 | 2008-01-31 |
| 1487774972 | James Edward Robson | Dentist | 15 Chesterfield Rd, Suite 208, East Lyme, CT 06333-1730 | 2007-03-30 |
| 1104961549 | Christopher Zbigniew Lachowski | Chiropractor | 15 Chesterfield Rd, Suite 206, East Lyme, CT 06333-1730 | 2007-02-21 |
| 1134270580 | Arlene Havens | Social Worker | 15 Chesterfield Rd, East Lyme, CT 06333-1730 | 2007-01-14 |
| 1700942828 | Michael A. Simeone | Optometrist | 15 Chesterfield Rd, East Lyme, CT 06333-1730 | 2007-01-01 |
| 1639269970 | Fred E Santoro | Pediatrics | 15 Chesterfield Rd, Flanders Plaza, Suite 214, East Lyme, CT 06333-1730 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| 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 |
|---|---|---|---|---|
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1700365939 | Genoa Healthcare, LLC | Pharmacy | 43 Woodland St Ste G100, Hartford, CT 06105-2363 | 2018-08-08 |
| 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 |
| 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 |
| 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 |
| 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.