CONNECTICUT CVS PHARMACY, LLC (NPI# 1912246414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912246414 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY# 10367 |
| Practice Address |
965 White Plains Rd Trumbull CT 06611-4502 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2032612541 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008043826 | 05 | |
| CT | DME | 008044539 | 01 |
| NCPDP | 0723076 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY# 10367 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| 1316177389 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 15 Chesterfield Rd, East Lyme, CT 06333-1730 | 2009-07-23 |
| Street Address |
965 WHITE PLAINS RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889094 | Robert J Patrignelli | Dermatology | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2005-05-31 |
| 1023272598 | Sound Ent, LLC | Specialist | 965 White Plains Rd, 3rd Floor, Trumbull, CT 06611-4566 | 2008-07-15 |
| 1316111586 | Noel M Hewitt | Audiologist | 965 White Plains Rd, 3rd Floor, Trumbull, CT 06611-4566 | 2008-04-17 |
| 1548447428 | Joseph A Cuteri Md LLC | Obstetrics & Gynecology | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2008-01-23 |
| 1124228002 | Stephanie Michaelides | Audiologist | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2007-07-19 |
| 1417073438 | Vaughn Family Dentistry PC | Dentist | 965 White Plains Rd, Brinsmade II, Trumbull, CT 06611-4566 | 2007-03-21 |
| 1679601389 | Brian Scott Vaughn | Dentist | 965 White Plains Rd, Brinsmade II, Trumbull, CT 06611 | 2007-03-02 |
| 1134267727 | Donna Marie Leonardo | Audiologist | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2007-02-03 |
| 1376649327 | Associates In Internal Medicine | Internal Medicine | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2006-09-16 |
| 1518992437 | April B Umek | Physician Assistant | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| 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 |
|---|---|---|---|---|
| 1427052844 | Mackenzies Pharmacy Inc | Pharmacy | 930 White Plains Rd, Trumbull, CT 06611-4550 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1700365939 | Genoa Healthcare, LLC | Pharmacy | 43 Woodland St Ste G100, Hartford, CT 06105-2363 | 2018-08-08 |
| 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 |
| 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 |
| 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 |
| 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.