PHARMAGEN LABORATORIES (NPI# 1477574424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477574424 |
Entity Type | Organization |
Organization Name | PHARMAGEN LABORATORIES |
Other Organization Name | BRYCE LABORATORIES |
Practice Address |
30 Buxton Farms Road Suite 110 Stamford CT 06905 |
Practice Telephone | 2033596323 |
Practice Fax Number | 2033596448 |
Mailing Telephone | 2033596323 |
Mailing Fax Number | 2033596448 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2014-04-21 |
Authorized Official Name | MR. JUSTIN BARCH (SENIOR VICE PRESIDENT) |
Authorized Official Telephone | 3014550207 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PCY0001773 | CT | Suppliers |
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PCY.0001773 | CT | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0719130 | 01 |
Other Name | Type Code |
---|---|
Bryce Laboratories | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | PHARMAGEN LABORATORIES, INC. | 30 Buxton Farm Rd., Stamford, CT 06905 |
Street Address |
30 BUXTON FARMS ROAD SUITE 110 |
City | STAMFORD |
State | CT |
Zip Code | 06905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942492293 | High Ridge Family Practice, LLC | Pediatrics | 30 Buxton Farms Road, Stamford, CT 06905-1224 | 2007-08-10 |
1336218098 | Steven M Baskin | Clinical Neuropsychologist | 30 Buxton Farms Road, Suite 230, Stamford, CT 06905 | 2006-11-07 |
1629150719 | Randall E Weeks | Psychologist | 30 Buxton Farms Road, Suite 230, Stamford, CT 06905 | 2006-10-19 |
1518068097 | David Martin Berkun | Pediatrics | 30 Buxton Farms Road, Stamford, CT 06905-1224 | 2006-09-26 |
1659471761 | Alan Todd Falkoff | Family Medicine | 30 Buxton Farms Road, Stamford, CT 06905-1224 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
Find all providers in zip 06905 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
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] |
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 |
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 |
1316062904 | Pioneer Health Compounding Pharmcacy | Pharmacy | 520 Hartford Tpke, Suite D, Vernon, CT 06066-5037 | 2007-03-20 |
1740374156 | Turrill Drug Inc | Pharmacy | 31 Old Route 7, Brookfield, CT 06804-1711 | 2006-10-03 |
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.