CONNECTICUT CVS PHARMACY LLC (NPI# 1790889608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790889608 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 01948 |
| Practice Address |
690 Wethersfield Ave Hartford CT 06114-1930 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8602961155 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1516 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0715562 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 01948 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191225 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 705 Bridgeport Ave, Shelton, CT 06484-4704 | 2020-07-10 |
| 1215564646 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1245 Dixwell Ave, Hamden, CT 06514-4132 | 2020-03-25 |
| 1467011726 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 333 N Main St Ste 10, West Hartford, CT 06117-2512 | 2019-06-11 |
| 1013403542 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1938 W Main St, Stamford, CT 06902-4521 | 2018-07-09 |
| 1720475593 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 537 Canal St, Stamford, CT 06902-5901 | 2015-04-20 |
| 1174923106 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 969 High Ridge Rd, Stamford, CT 06905-1608 | 2014-08-27 |
| 1174931117 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8 Royce Circle, (ts-3), Storrs, CT 06268-2258 | 2014-07-22 |
| 1083026306 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 720 Branchville Rd, Ridgefield, CT 06877-6129 | 2014-05-21 |
| 1861824187 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 355 Campbell Ave, West Haven, CT 06516 | 2013-08-09 |
| 1841631843 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 281 Connecticut Ave, Norwalk, CT 06854-1938 | 2013-07-08 |
| Street Address |
690 WETHERSFIELD AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06114-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073040903 | Lynn Marie Domingos | Pharmacist | 690 Wethersfield Ave, Hartford, CT 06114-1930 | 2017-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912846 | Ann-marie Brown | Counselor | One Congress Street, Suite 210, Hartford, CT 06114 | 2018-05-17 |
| 1154847044 | Na Won Lee | Dentist | 191 Franklin Ave., Care Dental Center, Hartford, CT 06114 | 2017-08-22 |
| 1386188522 | Poised Ondemand | Case Management | 41 Bond Street, Apt 3w, Hartford, CT 06114 | 2016-12-07 |
| 1619377348 | Morgan Anamoah Arhin | Social Worker | 331 Wethersfield Avenue, The Village for Families & Children, Inc., Hartford, CT 06114 | 2014-08-29 |
| 1972835254 | Eduardo Rosa | Counselor | 90 Webster Street, Hartford, CT 06114 | 2010-02-11 |
| 1134314651 | Ellen R Bent | Counselor | 407 Wethersfield Avenue, Hartford, CT 06114 | 2007-09-07 |
| 1124241963 | Hemal Vaishnav | Physical Therapist | 419 Franklin Avenue, Hartford, CT 06114 | 2007-04-10 |
| 1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
| 1720121122 | Virginia Howell Rittner | Pediatrics | Ssa, 309 Wawarme Ave, Hartford, CT 06114 | 2007-02-15 |
| 1851432355 | Maybelle E Mercado | Counselor | 901 Wethersfield Ave 2nd Floor, Suite 2l, Hartford, CT 06114 | 2007-02-09 |
| Find all providers in zip 06114 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700365939 | Genoa Healthcare, LLC | Pharmacy | 43 Woodland St Ste G100, Hartford, CT 06105-2363 | 2018-08-08 |
| 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 |
| 1851634109 | Hartford Pharmacy LLC | Pharmacy | 112 S 4th Ave, Hartford, AL 36344-1615 | 2013-04-04 |
| 1881914471 | Innova Pharmacy, Inc. | Pharmacy | 40 Weston St, Suite G, Hartford, CT 06120-1538 | 2010-06-04 |
| 1063410389 | Burgdorf Pharmacy Inc | Pharmacy | 131 Coventry Street, 2nd Fl, Hartford, CT 06112 | 2005-07-11 |
| 1174069413 | Healthcare LLC | Pharmacy | 740 Maple Ave, Hartford, CT 06114-2314 | 2017-01-10 |
| 1346271491 | K Mart Corp | Pharmacy | 1275 Bell Ave, Hartford, WI 53027-1976 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 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 |
| 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 |
| 1891146791 | Orange Markets LLC | Pharmacy | 259 Bull Hill Ln, Orange, CT 06477-3212 | 2016-06-22 |
| 1487017067 | Connecticut Pharmacy Direct LLC | Pharmacy | 10 Fairfield Blvd Unit C, Wallingford, CT 06492-5903 | 2016-04-01 |
| 1346602489 | Milford Markets LLC | Pharmacy | 935 Boston Post Rd, Milford, CT 06460-3531 | 2016-03-28 |
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 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.