CONNECTICUT CVS PHARMACY LLC (NPI# 1508091315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508091315 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17490 |
| Practice Address |
195 River Rd Lisbon CT 06351-3253 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8608232961 |
| Practice Fax Number | 8605913002 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| 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 |
PCY.0002143 | CT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2120069 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17490 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191225 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 705 Bridgeport Ave, Shelton, CT 06484-4704 | 2020-07-10 |
| 1215564646 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1245 Dixwell Ave, Hamden, CT 06514-4132 | 2020-03-25 |
| 1467011726 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 333 N Main St Ste 10, West Hartford, CT 06117-2512 | 2019-06-11 |
| 1013403542 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1938 W Main St, Stamford, CT 06902-4521 | 2018-07-09 |
| 1720475593 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 537 Canal St, Stamford, CT 06902-5901 | 2015-04-20 |
| 1174923106 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 969 High Ridge Rd, Stamford, CT 06905-1608 | 2014-08-27 |
| 1174931117 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8 Royce Circle, (ts-3), Storrs, CT 06268-2258 | 2014-07-22 |
| 1083026306 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 720 Branchville Rd, Ridgefield, CT 06877-6129 | 2014-05-21 |
| 1861824187 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 355 Campbell Ave, West Haven, CT 06516 | 2013-08-09 |
| 1841631843 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 281 Connecticut Ave, Norwalk, CT 06854-1938 | 2013-07-08 |
| Street Address |
195 RIVER RD |
| City | LISBON |
| State | CT |
| Zip Code | 06351-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669847323 | Mark Kasabuski | Pharmacist | 195 River Rd, Lisbon, CT 06351-3253 | 2015-12-07 |
| 1295125094 | Kaylyn Silva | Pharmacist | 195 River Rd, Lisbon, CT 06351-3253 | 2015-01-31 |
| 1629466362 | Brianne Nichols | Pharmacist | 195 River Rd, Lisbon, CT 06351-3253 | 2015-01-05 |
| 1831451673 | Cheryl Ann Pipe | Pharmacist | 195 River Rd, Lisbon, CT 06351-3253 | 2012-06-07 |
| 1841585742 | Katherine Andorfer | Pharmacist | 195 River Rd, Pharmacy T-2433, Lisbon, CT 06351-3253 | 2011-06-20 |
| 1053605311 | Molly Davis | Pharmacist | 195 River Rd, Lisbon, CT 06351-3253 | 2011-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617058 | Erin Haggan | Social Worker | 55 Dina Ln, Griswold, CT 06351 | 2012-12-13 |
| 1750554788 | Lisbon Central School | Local Education Agency (LEA) | 15 Newent Road, Lisbon, CT 06351 | 2008-04-10 |
| 1699953729 | Joel Zuckerbraun Odpl | Optometrist | 8 North Main Street, Jewett City, CT 06351 | 2008-01-31 |
| 1275542219 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 2 B Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1841260106 | Sasha B Campbell | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-01-26 |
| 1316296502 | Kelsey Lyn Joslyn | Counselor | 226 E Main St, Griswold, CT 06351 | 2012-09-04 |
| 1124183660 | Jason Edward Cavanaugh | Optometrist | 180 River Rd, Lisbon, CT 06351 | 2006-12-26 |
| 1952310955 | Penny Anne Allyn | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1578572574 | Audrey Jo Traylor | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1265434583 | Mark David Deponte | Family Medicine | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| Find all providers in zip 06351 | ||||
| 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 |
|---|---|---|---|---|
| 1982747044 | Morgans Drug Store Incorporated | Pharmacy | 118 E Lincoln Way, Lisbon, OH 44432-1406 | 2007-02-15 |
| 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.