HANCOCK PHARMACY (NPI# 1336127984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336127984 |
| Entity Type | Organization |
| Organization Name | HANCOCK PHARMACY |
| Other Organization Name | BRIDGEPORT CHEMISTS INC |
| Practice Address |
1557 Fairfield Ave Bridgeport CT 06605 |
| Practice Telephone | 2033674571 |
| Practice Fax Number | 2033684872 |
| Mailing Telephone | 2033674571 |
| Mailing Fax Number | 2033684872 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-05-04 |
| Authorized Official Name | RAJENDRA APPALANENI (PRESIDENT) |
| Authorized Official Telephone | 2033674571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004216794 | 05 |
| Other Name | Type Code |
|---|---|
| Bridgeport Chemists Inc | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HANCOCK PHARMACY III, LLC | 3768 Main St, Bridgeport, CT 06606 |
| Connecticut Business Registrations | HANCOCK PHARMACY IV, LLC | 114 Connecticut Avenue, Norwalk, CT 06485 |
| Street Address |
1557 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1063990612 | Dana Brunell Eisenberg | Registered Nurse | 46 Albion St, Bridgeport, CT 06605 | 2018-08-04 |
| Find all providers in zip 06605 | ||||
| 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 |
|---|---|---|---|---|
| 1023475449 | Albion - Hancock Pharmacy LLC | Pharmacy | 2125 Fairfield Ave, Bridgeport, CT 06605-2639 | 2016-01-16 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1598002479 | Medplex Pharmacy LLC | Pharmacy | 6318 Dixie Hwy, Bridgeport, MI 48722-9566 | 2013-01-11 |
| 1851624407 | B & L Drugs Inc | Pharmacy | 50452 Al Highway 277, Bridgeport, AL 35740-6517 | 2009-09-15 |
| 1588821789 | Bridgeport Pharmacy LLC | Pharmacy | 978 E Main St, Bridgeport, CT 06608-1913 | 2008-05-16 |
| 1164568721 | W Dale Gross | Pharmacy | 2520 Foster Ave, Bridgeport, WA 98813-1029 | 2007-01-30 |
| 1881751287 | Longbines Pharmacy Inc | Pharmacy | 810 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2007-01-03 |
| 1902913189 | Kph Healthcare Services, Inc. | Pharmacy | 7998 Route 31, Bridgeport, NY 13030-9473 | 2006-08-24 |
| 1386679488 | Stop and Shop Supermarket Co LLC | Pharmacy | 4531 Main St, Bridgeport, CT 06606-1818 | 2006-07-11 |
| 1346243672 | Ernest & Susan L Roales | Pharmacy | 208 N Main St, Bridgeport, IL 62417-1522 | 2005-05-31 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
Please comment or provide details below to improve the information on HANCOCK PHARMACY.
| 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.