CONNECTICUT CVS PHARMACY LLC (NPI# 1457509457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457509457 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17491 |
| Practice Address |
2100 Killingly Commons Southington CT 06489 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8604066755 |
| Practice Fax Number | 8604066765 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| 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 |
PCY.0002122 | CT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2116790 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17491 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191225 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 705 Bridgeport Ave, Shelton, CT 06484-4704 | 2020-07-10 |
| 1215564646 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1245 Dixwell Ave, Hamden, CT 06514-4132 | 2020-03-25 |
| 1467011726 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 333 N Main St Ste 10, West Hartford, CT 06117-2512 | 2019-06-11 |
| 1013403542 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1938 W Main St, Stamford, CT 06902-4521 | 2018-07-09 |
| 1720475593 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 537 Canal St, Stamford, CT 06902-5901 | 2015-04-20 |
| 1174923106 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 969 High Ridge Rd, Stamford, CT 06905-1608 | 2014-08-27 |
| 1174931117 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8 Royce Circle, (ts-3), Storrs, CT 06268-2258 | 2014-07-22 |
| 1083026306 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 720 Branchville Rd, Ridgefield, CT 06877-6129 | 2014-05-21 |
| 1861824187 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 355 Campbell Ave, West Haven, CT 06516 | 2013-08-09 |
| 1841631843 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 281 Connecticut Ave, Norwalk, CT 06854-1938 | 2013-07-08 |
| Street Address |
2100 KILLINGLY COMMONS |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| 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 |
|---|---|---|---|---|
| 1285747626 | Price Chopper Inc | Pharmacy | 410 Queen St, Southington, CT 06489-1801 | 2006-08-17 |
| 1134151004 | Stop and Shop Supermarket Co LLC | Pharmacy | 505 N Main St, Southington, CT 06489-2051 | 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 | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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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.