PINK MERMAID LLC (NPI# 1619212362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619212362 |
| Entity Type | Organization |
| Organization Name | PINK MERMAID LLC |
| Practice Address |
1313 Gold Star Hwy Groton CT 06340-2717 |
| Practice Telephone | 8608650825 |
| Practice Fax Number | 8608650826 |
| Mailing Telephone | 8608650825 |
| Mailing Fax Number | 8608650826 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | MRS. CAROL ANN RYALL (MASTECTOMY FITTER) |
| Authorized Official Telephone | 8608650825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1313 GOLD STAR HWY |
| City | GROTON |
| State | CT |
| Zip Code | 06340-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205871654 | Johnelms LLC | Physical Therapist | 1313 Gold Star Hwy, Groton, CT 06340-2717 | 2006-06-19 |
| 1518114669 | Carol Ann Ryall | Orthotic Fitter | 1313 Gold Star Hwy, Groton, CT 06340-2717 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367068 | Hartford Healthcare Medical Group Specialists LLC | Durable Medical Equipment & Medical Supplies | 85 Poheganut Drive, Suite 3, Groton, CT 06340-3252 | 2020-02-10 |
| 1538575477 | Claim Path Connecticut, LLC | Durable Medical Equipment & Medical Supplies | 220 Route 12 Ste 5, Groton, CT 06340-3414 | 2014-07-10 |
| 1518390103 | Fort Hill Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 980 Poquonnock Rd, Groton, CT 06340-4259 | 2013-08-19 |
| 1699016196 | Phalanx Med Connecticut, LLC | Durable Medical Equipment & Medical Supplies | 220 Route 12 Ste 5, #5293, Groton, CT 06340-3414 | 2013-03-07 |
| 1841513165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 60 Colver Ave, Groton, CT 06340-3808 | 2010-03-02 |
| 1518063965 | Fort Hill Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 116 Fort Hill Rd, Groton, CT 06340-4335 | 2006-09-15 |
| 1578667473 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 915 Poquonnock Rd, Groton, CT 06340 | 2006-09-12 |
| 1265488795 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 760a Boston Rd, Groton, MA 01450 | 2006-05-26 |
| 1659802239 | Airline Drug Inc | Durable Medical Equipment & Medical Supplies | 980 Poquonnock Rd, Groton, CT 06340-4259 | 2017-03-24 |
| 1972821007 | Lori L Giedt | Durable Medical Equipment & Medical Supplies | 1205 N 1st St, Groton, SD 57445-2329 | 2010-05-13 |
| Find all providers in GROTON | ||||
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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.