IVERY & DUDLEY INC (NPI# 1881761781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881761781 |
| Entity Type | Organization |
| Organization Name | IVERY & DUDLEY INC |
| Other Organization Name | NORTHWEST CT. DIABETES CENTER |
| Practice Address |
118 Main St Winsted CT 06098-1713 |
| Mailing Address |
Po Box 745 Winsted CT 06098-0745 |
| Practice Telephone | 8607389116 |
| Mailing Telephone | 8603738911 |
| Mailing Fax Number | 8008560221 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN PHILIP PARISI (PRESIDENT) |
| Authorized Official Telephone | 8607389116 |
| Authorized Official Credential | RPH CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| NORTHWEST CT. DIABETES CENTER | Other Name - Individual/Organization |
| Street Address |
118 MAIN ST |
| City | WINSTED |
| State | CT |
| Zip Code | 06098-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851391452 | Ivery & Dudley Pharmacy Inc | Pharmacist | 118 Main St, Winsted, CT 06098-1713 | 2005-07-26 |
| 1407913486 | Ivery and Dudley Inc | Durable Medical Equipment & Medical Supplies | 118 Main St, Winsted, CT 06098-1713 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548354012 | William P Ryan | Dentist | 10 Hinsdale Ave, Winsted, CT 06098 | 2006-10-02 |
| 1417966078 | Mark E Stefanov | Dentist | 17 Union St, Winsted, CT 06098 | 2006-08-05 |
| 1154354256 | Theodore Francis Marolda | Dentist | 16 Hinsdale Ave, Winsted, CT 06098 | 2006-07-09 |
| 1407354095 | Northwestern Dental | Dentist | 101 North Main Street, Winsted, CT 06098 | 2018-01-29 |
| 1588187348 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 New Hartford Rd, Winsted, CT 06098 | 2017-07-24 |
| 1093909871 | David R Lawrence Md LLC | Internal Medicine | 200 New Hartford Rd, Winsted, CT 06098 | 2007-09-05 |
| 1487792305 | Kim Marie Wasko | Dentist | 140 Willow St, Ste 2, Winsted, CT 06098 | 2007-02-02 |
| 1306852736 | David Robert Lawrence | Internal Medicine | 200 New Hartford Rd, Winsted, CT 06098 | 2006-07-31 |
| 1053374348 | Carol Hahn | Physical Therapist | 115 Spencer St, Winsted, CT 06098 | 2006-04-09 |
| 1245396282 | Ruth P Lallier | Social Worker | 214 Wallens Hill, Winsted, CT 06098-0098 | 2006-12-27 |
| Find all providers in zip 06098 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1902464159 | Jack Mccormick | Pharmacy | 20 York St, New Haven, CT 06510-3220 | 2019-06-03 |
| 1730397738 | Charter Oak Health Center Medicaid Pharm | Pharmacy | 21 Grand St, Hartford, CT 06106-1541 | 2007-05-21 |
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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.