BUNKER HILL PHARMACY INC (NPI# 1649251372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649251372 |
| Entity Type | Organization |
| Organization Name | BUNKER HILL PHARMACY INC |
| Other Organization Name | BUNKER HILL PHARMACY |
| Practice Address |
256 Bunker Hill Ave Waterbury CT 06708-2253 |
| Practice Telephone | 2035747825 |
| Practice Fax Number | 2035744972 |
| Mailing Telephone | 2035747825 |
| Mailing Fax Number | 2035744972 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | MR. CHRISTOPHER ROBERT O'BRIEN (MANAGER) |
| Authorized Official Telephone | 2035747825 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY.0000274 | CT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004027306 | 05 | |
| PK | 1998233 | 01 | |
| CT | 004016036 | 05 |
| Other Name | Type Code |
|---|---|
| BUNKER HILL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861585291 | Bunker Hill Pharmacy Inc | Pharmacy | 1610 N Main St, Altus, OK 73521-2145 | 2006-09-30 |
| Street Address |
256 BUNKER HILL AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986867 | Bunker Hill Pharmacy | Pharmacy | 256 Bunker Hill Ave, Waterbury, CT 06708 | 2019-05-08 |
| 1740652361 | Christopher O'brien | Pharmacist | 256 Bunker Hill Ave, Waterbury, CT 06708 | 2015-10-22 |
| 1417327438 | William Summa | Pharmacist | 256 Bunker Hill Ave, Waterbury, CT 06708-2253 | 2015-10-02 |
| 1598942658 | Kevin Czarzasty | Pharmacist | 256 Bunker Hill Ave, Waterbury, CT 06708-1906 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| 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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|---|---|---|---|---|
| 1003841107 | Stop and Shop Supermarket Co LLC | Pharmacy | 920 Wolcott St, Waterbury, CT 06705-1300 | 2006-07-11 |
| 1346272200 | Stop and Shop Supermarket Co LLC | Pharmacy | 240 Chase Ave, Waterbury, CT 06704-2237 | 2006-07-07 |
| 1316979289 | Stop and Shop Supermarket Co LLC | Pharmacy | 410 Reidville Dr, Waterbury, CT 06705-2633 | 2006-07-07 |
| 1952357329 | Shaws Supermarkets Inc | Pharmacy | 820 Waterbury Stowe Rd, Waterbury, VT 05676 | 2006-05-26 |
| 1851931091 | Genoa Healthcare, LLC | Pharmacy | 855 Lakewood Rd Ste 100, Waterbury, CT 06704-2483 | 2020-01-15 |
| 1205237476 | Brass City Pharmacy Inc | Pharmacy | 558 Chase Ave, Suite 2b, Waterbury, CT 06704-1947 | 2014-09-08 |
| 1821304478 | Montpelier Pharmacy Inc | Pharmacy | 149 S Main St, Waterbury, VT 05676-1516 | 2010-08-20 |
| 1497807069 | Vincents Rexall Drugs Inc | Pharmacy | 80 South Main St, Waterbury, VT 05676-0059 | 2007-01-17 |
| 1124074745 | Shaws Supermarkets Inc | Pharmacy | 205 Union St, Waterbury, CT 06706-1248 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1700365939 | Genoa Healthcare, LLC | Pharmacy | 43 Woodland St Ste G100, Hartford, CT 06105-2363 | 2018-08-08 |
| 1740771021 | Valisurerx LLC | Pharmacy | 5 Science Park Ste 1, New Haven, CT 06511-1989 | 2018-05-23 |
| 1386141463 | Danbury Pharmacy LLC | Pharmacy | 35 White St Unit 5, Danbury, CT 06810-6678 | 2018-04-06 |
| 1093228306 | Optum Infusion Services 500, Inc. | Pharmacy | 33 N Plains Industrial Rd, Wallingford, CT 06492-5841 | 2017-11-08 |
| 1194264820 | Hartford Pharmacy II Inc | Pharmacy | 57 Park St, Hartford, CT 06106-2520 | 2017-02-14 |
| 1467991190 | Hartford Pharmacy IIi Inc | Pharmacy | 33 New Britain Ave, Hartford, CT 06106-3306 | 2017-02-14 |
| 1275070872 | Maple Pharmacy LLC | Pharmacy | 697 Maple Ave, Hartford, CT 06114-1856 | 2017-01-21 |
| 1770026726 | Phillip Hein | Pharmacy | 1835 Post Rd E, Westport, CT 06880-5666 | 2016-11-23 |
| 1578012324 | Community Health Pharmacy LLC | Pharmacy | 210 Dixwell Ave, New Haven, CT 06511-3416 | 2016-09-21 |
| 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.