CONNECTICUT PHARMACY DIRECT LLC (NPI# 1487017067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487017067 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT PHARMACY DIRECT LLC |
| Other Organization Name | CONNECTICUT PHARMACY DIRECT |
| Practice Address |
10 Fairfield Blvd Unit C Wallingford CT 06492-5903 |
| Practice Telephone | 2034431213 |
| Practice Fax Number | 2034431085 |
| Mailing Telephone | 2034431213 |
| Mailing Fax Number | 2034431085 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SCOTT WOLAK (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2035181146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | NR1506 | NH | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
035394 | NY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHN11251 | RI | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PCY.0002331 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159143 | 01 | |
| CT | 008066088 | 05 |
| Other Name | Type Code |
|---|---|
| Connecticut Pharmacy Direct | Doing Business As Name - Organization |
| Street Address |
10 FAIRFIELD BLVD UNIT C |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1225141682 | Price Chopper Inc | Pharmacy | 251 Kennedy Dr, Ste A, Putnam, CT 06260-1628 | 2006-08-17 |
| 1043666373 | Oronoque Apothecary LLC | Pharmacy | 7365 Main St, Stratford, CT 06614-1300 | 2016-05-05 |
| 1457716631 | Reliant Specialty LLC | Pharmacy | 46 Broad St, New Britain, CT 06053-4305 | 2015-12-15 |
| 1457420663 | Apria Healthcare, Inc. | Pharmacy | 40 Sebethe Dr, Cromwell, CT 06416-1015 | 2006-11-06 |
| 1629039383 | Oronoque Pharmacy Inc. | Pharmacy | 7365 Main St, Stratford, CT 06614-1300 | 2006-03-31 |
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on CONNECTICUT PHARMACY DIRECT LLC.
| 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.