NUTMEG PHARMACY MOODUS LLC (NPI# 1932746591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932746591 |
| Entity Type | Organization |
| Organization Name | NUTMEG PHARMACY MOODUS LLC |
| Practice Address |
38 William F Palmer Rd Moodus CT 06469-1131 |
| Mailing Address |
Po Box 540 Higganum CT 06441-0540 |
| Practice Telephone | 8608918164 |
| Mailing Telephone | 8603453607 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | BONNIE L HARRIS (OFFICE MANAGER) |
| Authorized Official Telephone | 8603453607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636469 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2020-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Nutmeg Pharmacy Moodus LLC | 58 Seaview Avenue, Old Lyme, CT 06371 |
| Street Address |
38 WILLIAM F PALMER RD |
| City | MOODUS |
| State | CT |
| Zip Code | 06469-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636469 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875712 | Chestelm Adult Day Services Inc | Clinic/Center | 542 Town Street, Moodus, CT 06469 | 2007-05-02 |
| 1588725345 | Steven M Pear | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-13 |
| 1679663066 | East Haddam Public Schools | Local Education Agency (LEA) | 26 Plains Rd, Moodus, CT 06469 | 2006-10-13 |
| 1528162633 | East Haddam Dental Associates PC | Dentist | 32 William F Palmer Road, Moodus, CT 06469 | 2006-09-11 |
| 1427110048 | Karl Peter Stofko | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-14 |
| 1396147708 | Christopher Petersen | Registered Nurse | 28 Leesville Rd, Moodus, CT 06469-1003 | 2014-09-17 |
| 1720513666 | Wellness Within, LLC | Social Worker | 424 E Haddam Moodus Rd, Moodus, CT 06469-1024 | 2017-04-28 |
| 1982609673 | Chestelm Health Care, Inc | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2005-06-17 |
| 1811437767 | Andrew Lizotte | Physical Therapy Assistant | 534 Town St, Moodus, CT 06469-1101 | 2017-02-26 |
| 1093180762 | Jessica Pandolfe | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2015-12-07 |
| Find all providers in zip 06469 | ||||
| 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] |
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| 1669094439 | Cx Pharmacy Corp | Pharmacy | 110 Commerce Dr Ste 250, Shelton, CT 06484-6259 | 2020-05-14 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 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 |
| 1154895837 | Main Street Pharmacy Inc | Pharmacy | 2550 Main St Fl 1, Hartford, CT 06120-1936 | 2019-01-16 |
| 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.