BROOKFIELD MEDICAL/SURGICAL SUPPLIES, INC. (NPI# 1457646796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457646796 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD MEDICAL/SURGICAL SUPPLIES, INC. |
| Other Organization Name | BROOKFIELD PHARMACY |
| Practice Address |
60 Old New Milford Rd Suite 1b Brookfield CT 06804-2430 |
| Mailing Address |
Po Box 801 Brookfield CT 06804-0801 |
| Practice Telephone | 2037759040 |
| Practice Fax Number | 2037759515 |
| Mailing Telephone | 2037752580 |
| Mailing Fax Number | 2037409098 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | MR. JAMES P CANGELOSI (PRESIDENT) |
| Authorized Official Telephone | 2037759040 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2065 | CT | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
2065 | CT | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2065 | CT | Suppliers |
| Other Name | Type Code |
|---|---|
| BROOKFIELD PHARMACY | Doing Business As Name - Organization |
| Street Address |
60 OLD NEW MILFORD RD SUITE 1B |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374734 | Daniel Nelson Fish | Orthopaedic Surgery | 60 Old New Milford Rd, Ste 3e, Brookfield, CT 06804-2430 | 2005-05-23 |
| 1700173168 | Brookfield Medical/surgical Supplies Inc. | Pharmacy | 60 Old New Milford Rd, Suite 2b, Brookfield, CT 06804-2430 | 2011-07-06 |
| 1104148675 | Robert John Daher | Orthopaedic Surgery | 60 Old New Milford Rd, Suite 3e, Brookfield, CT 06804-2430 | 2010-02-24 |
| 1437481587 | Thomas John Condon | Psychologist | 60 Old New Milford Rd, Suite 3-a, Brookfield, CT 06804-2430 | 2010-01-31 |
| 1437482775 | Ileana Velazquez | Social Worker | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2009-09-17 |
| 1598933442 | Paul Fitzgerald | Dentist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2008-02-13 |
| 1851444574 | John A Healy | Psychologist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2007-01-18 |
| 1437206042 | Thomas S Kocienda | Psychologist | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2007-01-04 |
| 1841389392 | Jenny Tekla Federman | Dentist | 60 Old New Milford Rd, Ste 1d, Brookfield, CT 06804-2430 | 2006-10-12 |
| 1659465060 | Brookfield Medical Surgical Supplies Inc | Durable Medical Equipment & Medical Supplies | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062181 | Quality Compounding and Specialty Rx Ltd | Pharmacy | 7160 Warren Sharon Rd, Brookfield, OH 44403-9657 | 2008-12-23 |
| 1740374156 | Turrill Drug Inc | Pharmacy | 31 Old Route 7, Brookfield, CT 06804-1711 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568987774 | Enfield Compounding Center LLC | Pharmacy | 139 Hazard Ave Unit 15, Enfield, CT 06082-4585 | 2017-08-08 |
| 1245685536 | Grandhi LLC | Pharmacy | 15 Corporate Dr Ste 1-1, Trumbull, CT 06611-1351 | 2016-04-25 |
| 1477574424 | Pharmagen Laboratories | Pharmacy | 30 Buxton Farms Road, Suite 110, Stamford, CT 06905 | 2006-07-22 |
| 1649251372 | Bunker Hill Pharmacy Inc | Pharmacy | 256 Bunker Hill Ave, Waterbury, CT 06708-2253 | 2005-11-09 |
| 1689676074 | Jewett City Pharmacy | Pharmacy | 78 Main St, Jewett City, CT 06351-2226 | 2005-08-15 |
| 1073130787 | Wassef LLC | Pharmacy | 535 Boston Post Rd, Old Saybrook, CT 06475-1506 | 2020-06-29 |
| 1225482490 | Medical Center Pharmacy Inc | Pharmacy | 1100 Sherman Ave, Hamden, CT 06514 | 2016-04-14 |
| 1588902563 | Ct Healthcare Services LLC | Pharmacy | 46 Broad St, New Britain, CT 06053-4305 | 2013-01-24 |
| 1376840785 | Custom Compounding LLC | Pharmacy | 3 Maple St, Kent, CT 06757-1711 | 2011-02-21 |
| 1316062904 | Pioneer Health Compounding Pharmcacy | Pharmacy | 520 Hartford Tpke, Suite D, Vernon, CT 06066-5037 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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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.