BRONCHO DOSE LTD (NPI# 1750363610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750363610 |
| Entity Type | Organization |
| Organization Name | BRONCHO DOSE LTD |
| Other Organization Name | COMPOUND RX |
| Practice Address |
55 Ontario St Stratford CT 06615-7135 |
| Mailing Address |
Po Box 520 Southport CT 06890-0520 |
| Practice Telephone | 2033758000 |
| Practice Fax Number | 8007845430 |
| Mailing Telephone | 2033758000 |
| Mailing Fax Number | 8007845430 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL WILLIAM LICAMELE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2033758000 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1732 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BC6778635 | 01 |
| Other Name | Type Code |
|---|---|
| Compound RX | Doing Business As Name - Organization |
| Street Address |
55 ONTARIO ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| 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 |
|---|---|---|---|---|
| 1386174142 | Sapphire Beauty LLC | Durable Medical Equipment & Medical Supplies | 7365 Main St # 311, Stratford, CT 06614-1300 | 2017-06-14 |
| 1053849380 | Royal Med Solutions LLC. | Durable Medical Equipment & Medical Supplies | 35 Dewey St, Stratford, CT 06615-6800 | 2017-05-31 |
| 1336455005 | Stratford Markets LLC | Durable Medical Equipment & Medical Supplies | 250 Barnum Avenue Cutoff, Stratford, CT 06614-5152 | 2010-08-19 |
| 1144404344 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 355 Hawley Lane, Stratford, CT 06614 | 2007-12-24 |
| 1285708156 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1985 Barnum Ave, Stratford, CT 06615-5512 | 2006-11-20 |
| 1083790604 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2006-10-27 |
| 1154405702 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 69 N White Horse Pike, Stratford, NJ 08084 | 2006-10-24 |
| 1235238502 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 3680 Main Street, Stratford, CT 06614-4102 | 2006-09-22 |
| 1891899720 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1 Hawley Ln, Stratford, CT 06614-1200 | 2006-09-12 |
| 1619071545 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1425 Barnum Ave, Stratford, CT 06614-5404 | 2006-09-12 |
| Find all providers in STRATFORD | ||||
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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.