HERITAGE VILLAGE PHARMACY INC (NPI# 1891110615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891110615 |
| Entity Type | Organization |
| Organization Name | HERITAGE VILLAGE PHARMACY INC |
| Practice Address |
493 Heritage Rd Southbury CT 06488-3879 |
| Practice Telephone | 2012708013 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | MR. PRAVEEN KUMAR DHULIPALLA (MANAGER) |
| Authorized Official Telephone | 2012708013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HERITAGE VILLAGE PHARMACY INC. | 493 Heritage Road, Southbury, CT 06488 |
| Street Address |
493 HERITAGE RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215024013 | Denise Mcdonald Casavant | Social Worker | 493 Heritage Rd, Suite 3c, Southbury, CT 06488-3879 | 2006-10-05 |
| 1366984890 | Yuri Vigdorchik | Occupational Therapist | 493 Heritage Rd, Suite 1c, Southbury, CT 06488-3879 | 2016-11-15 |
| 1366895021 | Joseph Caruso | Physical Therapy Assistant | 493 Heritage Rd, Suite 1c, Southbury, CT 06488-3879 | 2016-07-18 |
| 1538512652 | Timothy Gugino | Occupational Therapy Assistant | 493 Heritage Rd, Suite1c, Southbury, CT 06488-3879 | 2016-07-14 |
| 1023363512 | Daniel Christopher Baxter | Pharmacist | 493 Heritage Rd, Southbury, CT 06488-3879 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| 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 |
|---|---|---|---|---|
| 1518972868 | Walgreen Co | Pharmacy | 370 Main St S, Southbury, CT 06488-4200 | 2006-07-29 |
| 1669788998 | Reliant Pharmacy LLC | Pharmacy | 200 Main St S, Southbury, CT 06488-4250 | 2010-08-24 |
| 1962506865 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 22 Depot Hill Rd, Southbury, CT 06488-2258 | 2006-09-12 |
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| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| 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.