CONNECTICUT CVS PHARMACY LLC (NPI# 1497045892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497045892 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY# 02151 |
| Practice Address |
330 Grasmere Avenue Fairfield CT 06824 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2032550060 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | SUSAN F COLBERT (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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | DME | 008034747 | 01 |
| CT | 008032992 | 05 | |
| NCPDP | 0722430 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 02151 | 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 |
330 GRASMERE AVENUE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| 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] |
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| 1922440460 | Nudak Ventures LLC | Pharmacy | 2000d S Main St, Fairfield, IA 52556-9572 | 2013-07-25 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1932203510 | Lupes Drug Store Inc | Pharmacy | 2035 Black Rock Tpke, Fairfield, CT 06825-3550 | 2006-09-12 |
| 1376645499 | Hometown Pharmacy | Pharmacy | 201 E Commerce St, Fairfield, TX 75840-1509 | 2006-09-01 |
| 1073623625 | Costco Wholesale Corporation | Pharmacy | 5101 Business Center Dr, Fairfield, CA 94534 | 2006-08-30 |
| 1598776155 | Rem Corporation | Pharmacy | 765 Nilles Rd, Suite A, Fairfield, OH 45014-9302 | 2006-08-10 |
| 1093732372 | Wal-mart Stores East Lp | Pharmacy | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-07-16 |
| 1841222718 | Stop and Shop Supermarket Co LLC | Pharmacy | 1160 Kings Highway Cutoff, Fairfield, CT 06824-5271 | 2006-07-07 |
| 1295703403 | American Infusion Midatlantic Inc | Pharmacy | 353 Us Highway 46 # C, Fairfield, NJ 07004-2437 | 2006-03-14 |
| 1427661404 | Walgreens | Pharmacy | 2590 N Texas St, Fairfield, CA 94533-1606 | 2020-08-28 |
| Find all providers in FAIRFIELD | ||||
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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.