ENFIELD COMPOUNDING PHARMACY LLC (NPI# 1568965796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568965796 |
| Entity Type | Organization |
| Organization Name | ENFIELD COMPOUNDING PHARMACY LLC |
| Other Organization Name | ENFIELD COMPOUNDING PHARMACY |
| Practice Address |
139 Hazard Ave Bldg 4 Enfield CT 06082-4585 |
| Mailing Address |
Po Box 1152 Enfield CT 06083-1152 |
| Practice Telephone | 8607491101 |
| Practice Fax Number | 8607491106 |
| Mailing Telephone | 8607491101 |
| Mailing Fax Number | 8607491106 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | FRANK PAGE (PHARMACIST/OWNER) |
| Authorized Official Telephone | 8607491101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2362 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176935 | 01 |
| Other Name | Type Code |
|---|---|
| ENFIELD COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| Street Address |
139 HAZARD AVE BLDG 4 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366776775 | Darshan J Shah Md LLC | Internal Medicine | 139 Hazard Ave Bldg 4, Enfield, CT 06082-4583 | 2009-10-01 |
| 1770055139 | Amy Shepardson | Nutritionist | 139 Hazard Ave Bldg 4, Enfield, CT 06082-4585 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245685536 | Grandhi LLC | Pharmacy | 15 Corporate Dr Ste 1-1, Trumbull, CT 06611-1351 | 2016-04-25 |
| 1477574424 | Pharmagen Laboratories | Pharmacy | 30 Buxton Farms Road, Suite 110, Stamford, CT 06905 | 2006-07-22 |
| 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.