BROOKFIELD MEDICAL SURGICAL SUPPLIES INC (NPI# 1659465060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659465060 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD MEDICAL SURGICAL SUPPLIES INC |
| Other Organization Name | BROOKFIELD PHARMACY |
| Practice Address |
60 Old New Milford Rd Brookfield CT 06804-2430 |
| Mailing Address |
Po Box 801 Brookfield CT 06804-0801 |
| Practice Telephone | 2037759040 |
| Practice Fax Number | 2037759515 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | JAMES CANGELOSI (OWNER) |
| Authorized Official Telephone | 2037759040 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY.0001469 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004126191 | 05 | |
| PK | 2000261 | 01 |
| Other Name | Type Code |
|---|---|
| BROOKFIELD PHARMACY | Doing Business As Name - Organization |
| Street Address |
60 OLD NEW MILFORD RD |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374734 | Daniel Nelson Fish | Orthopaedic Surgery | 60 Old New Milford Rd, Ste 3e, Brookfield, CT 06804-2430 | 2005-05-23 |
| 1700173168 | Brookfield Medical/surgical Supplies Inc. | Pharmacy | 60 Old New Milford Rd, Suite 2b, Brookfield, CT 06804-2430 | 2011-07-06 |
| 1457646796 | Brookfield Medical/surgical Supplies, Inc. | Pharmacy | 60 Old New Milford Rd, Suite 1b, Brookfield, CT 06804-2430 | 2011-06-15 |
| 1104148675 | Robert John Daher | Orthopaedic Surgery | 60 Old New Milford Rd, Suite 3e, Brookfield, CT 06804-2430 | 2010-02-24 |
| 1437481587 | Thomas John Condon | Psychologist | 60 Old New Milford Rd, Suite 3-a, Brookfield, CT 06804-2430 | 2010-01-31 |
| 1437482775 | Ileana Velazquez | Social Worker | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2009-09-17 |
| 1598933442 | Paul Fitzgerald | Dentist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2008-02-13 |
| 1851444574 | John A Healy | Psychologist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2007-01-18 |
| 1437206042 | Thomas S Kocienda | Psychologist | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2007-01-04 |
| 1841389392 | Jenny Tekla Federman | Dentist | 60 Old New Milford Rd, Ste 1d, Brookfield, CT 06804-2430 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1437520335 | Rite Aid | Pharmacy | 6 Nicoles Ct, Brookfield, CT 06804-1246 | 2015-10-18 |
| 1558507459 | Giant Eagle, Inc | Pharmacy | 7229 Sharon-warren Road, Giant Eagle Pharmacy #1435, Brookfield, OH 44403 | 2008-12-23 |
| 1558471169 | Costco Wholesale Corporation | Pharmacy | 200 Federal Rd, Brookfield, CT 06804 | 2006-08-30 |
| 1275540155 | Walgreen Co | Pharmacy | 15738 W Capitol Dr, Brookfield, WI 53005-2201 | 2006-08-02 |
| 1154336063 | The Tamarkin Company | Pharmacy | 7229 Warren Sharon Rd, Brookfield, OH 44403 | 2006-07-29 |
| 1841215571 | Aurora Pharmacy Inc | Pharmacy | 13935 W Capitol Dr, Brookfield, WI 53005-2496 | 2006-07-13 |
| 1902821630 | Aurora Pharmacy Inc | Pharmacy | 16985 W Bluemound Rd Ste 100, Brookfield, WI 53005-5909 | 2006-07-13 |
| 1184658304 | Aurora Pharmacy Inc | Pharmacy | 12735 W Capitol Dr, Brookfield, WI 53005-2442 | 2006-07-11 |
| 1316988280 | Highland Park Cvs LLC | Pharmacy | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2006-06-09 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on BROOKFIELD MEDICAL SURGICAL SUPPLIES INC.
| 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.