CONNECTICUT CVS PHARMACY, LLC (NPI# 1942433032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942433032 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY # 08249 |
| Practice Address |
57 Providence Pike Putnam CT 06260 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 8609632548 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2011-03-30 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 0721565 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 08249 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912246414 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 965 White Plains Rd, Trumbull, CT 06611-4502 | 2013-02-05 |
| 1316177389 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 15 Chesterfield Rd, East Lyme, CT 06333-1730 | 2009-07-23 |
| Street Address |
57 PROVIDENCE PIKE |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540703 | Doris Louise Arundel | Pharmacist | 57 Providence Pike, Putnam, CT 06260-2413 | 2018-12-29 |
| 1053768226 | Celeste Frappier | Pharmacist | 57 Providence Pike, Putnam, CT 06260-2413 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1619127487 | New England Healthcare Staffing | Home Health | 255 Kennedy Drive, Putnam, CT 06260 | 2008-09-29 |
| Find all providers in zip 06260 | ||||
| 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 |
|---|---|---|---|---|
| 1215969183 | Stop and Shop Supermarket Co LLC | Pharmacy | 60 Providence Turnpike, Putnam, CT 06260 | 2006-07-07 |
| 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.