CONNECTICUT CVS PHARMACY, L.L.C. (NPI# 1497905830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497905830 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02896 |
| Practice Address |
675 Washington St Middletown CT 06457-2901 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 8603441320 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2008-09-23 |
| 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 |
|---|---|---|---|
| CT | 008002487 | 05 | |
| CT | NCPDP | 0721286 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #02896 | 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 |
| 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 |
| 1922103761 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 542 Providence Rd, Brooklyn, CT 06234-3413 | 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 |
675 WASHINGTON ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781083 | Ana Maria Gomes | Pharmacist | 675 Washington St, Middletown, CT 06457-2901 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1629592001 | Dolsontown Pharmacy Corp. | Pharmacy | 1291 Dolsontown Rd Ste 2, Middletown, NY 10940-4772 | 2017-07-27 |
| 1265864912 | Tas Pharmacy Inc | Pharmacy | 445 North St Route 17 M, Middletown, NY 10940-0000 | 2013-08-05 |
| 1699047423 | Clark Rx LLC | Pharmacy | 710 S Breiel Blvd Ste B, Middletown, OH 45044-6202 | 2012-02-09 |
| 1013211507 | Rite Aid Corporation | Pharmacy | 1 Fitzgerald Dr, Middletown, NY 10940-3059 | 2010-12-27 |
| 1255507695 | Prestige Pharmacy Inc | Pharmacy | 36 42 James St, Middletown, NY 10940 | 2008-05-06 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1760576177 | Kevren Inc | Pharmacy | 1971 Central Avenue, Middletown, OH 45044 | 2006-10-03 |
| 1811009822 | Middletown Apothecary Inc | Pharmacy | 149 Wickham Ave, Middletown, NY 10940-3721 | 2006-08-31 |
| 1205849635 | Golub Corporation | Pharmacy | 511 Shutt Street, Middletown, NY 10940 | 2006-08-15 |
| 1932128964 | Stop and Shop Supermarket Co LLC | Pharmacy | Rt 35s and Twin Brook Ave, Middletown, NJ 07748 | 2006-07-19 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on CONNECTICUT CVS PHARMACY, L.L.C..
| 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.