CONNECTICUT CVS PHARMACY, L.L.C. (NPI# 1922103761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922103761 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY# 00942 |
| Practice Address |
542 Providence Rd Brooklyn CT 06234-3413 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8607790523 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-03-25 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| 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 | 1328 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0712580 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY# 00942 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982923488 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 66 High Ridge Road, Stamford, CT 06905 | 2010-05-24 |
| 1518101732 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 241 Middle Turnpike West, Manchester, CT 06040 | 2009-05-01 |
| 1487804688 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2005 Norwich New London Tpke, Uncasville, CT 06382-1369 | 2008-09-24 |
| 1497905830 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 675 Washington St, Middletown, CT 06457-2901 | 2008-09-23 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| 1649429952 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 122 E Putnam Rd, Cos Cob, CT 06807-2720 | 2008-09-10 |
| 1104921956 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Bank St, Granby, CT 06035 | 2006-09-14 |
| 1740385582 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 724 Queens St, Edwards Plz, Southington, CT 06489-1505 | 2006-09-14 |
| 1831294677 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 45 South Main St, Farmington Plz, Unionville, CT 06085 | 2006-09-14 |
| 1114022951 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 844 Jones Hill Rd, West Haven, CT 06516 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT CVS PHARMACY, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
542 PROVIDENCE RD |
| City | BROOKLYN |
| State | CT |
| Zip Code | 06234-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366805053 | Katelyn Mae Richard | Pharmacist | 542 Providence Rd, Brooklyn, CT 06234-3413 | 2016-03-31 |
| 1467815167 | Lauren Dandeneau | Pharmacist | 542 Providence Rd, Brooklyn, CT 06234-3413 | 2016-03-30 |
| 1124480603 | Erik Reed | Pharmacist | 542 Providence Rd, Brooklyn, CT 06234-3413 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427613645 | Brenda Jean Wrenn | Driver | 153 Church St, Brooklyn, CT 06234 | 2019-05-02 |
| 1205353026 | Brook Bachand | Massage Therapist | 538b Providence Road, Brooklyn, CT 06234 | 2017-08-23 |
| 1407015977 | Sarah Anne Pasiakos | Speech-Language Pathologist | 50 Westview Drive, Brooklyn, CT 06234 | 2008-06-09 |
| 1396957965 | Classic Homemakers LLC | Chore Provider | 167 Stetson Rd, Brooklyn, CT 06234 | 2007-05-04 |
| 1699799130 | Pierce Memorial Baptist Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 Canterbury Road, Brooklyn, CT 06234 | 2006-07-27 |
| 1366871220 | Quiet Corner Eyecare, LLC | Optometrist | 450 Providence Rd, Walmart Vision Center, Brooklyn, CT 06234 | 2013-11-01 |
| 1013050053 | Day Drug Inc | Pharmacy | 50 South Main Street, Brooklyn, CT 06234 | 2007-02-15 |
| 1538125455 | Maria J Brennan | Nurse Practitioner | 63 Canterbury Rd, Windham Urology Group, Brooklyn, CT 06234 | 2006-04-21 |
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1932761202 | Tessa Lynn Depasquale | Counselor | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2019-07-08 |
| Find all providers in zip 06234 | ||||
| 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 |
|---|---|---|---|---|
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1801435144 | Healthrx Inc | Pharmacy | 82 Church Ave, Brooklyn, NY 11218-2208 | 2020-01-03 |
| 1851947139 | Truepill Ny LLC | Pharmacy | 850 3rd Ave Ste 404, Brooklyn, NY 11232-1523 | 2019-08-13 |
| 1073177309 | Chemix, Inc. | Pharmacy | 5909 18th Ave, Brooklyn, NY 11204-2202 | 2019-04-22 |
| 1700350717 | Forever Health Pharmacy II, LLC | Pharmacy | 7224 18th Ave, Brooklyn, NY 11204-5632 | 2019-01-14 |
| 1891266771 | Square Pharmacy Inc. | Pharmacy | 8400 Flatlands Ave, Brooklyn, NY 11236-3508 | 2018-12-17 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1790267961 | Christy Mei | Pharmacy | 1574 64th St, Brooklyn, NY 11219-5730 | 2018-09-04 |
| 1528549292 | Oceania Chemist Inc | Pharmacy | 388 Neptune Ave, Brooklyn, NY 11235 | 2018-08-22 |
| Find all providers in BROOKLYN | ||||
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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.