CONNECTICUT CVS PHARMACY LLC (NPI# 1528080124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528080124 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16712 |
| Practice Address |
474 Chamberlain Hwy Meriden CT 06451-1818 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2036346060 |
| Practice Fax Number | 2034272960 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| 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 |
PCY1795 | CT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2002419 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16712 | 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 |
474 CHAMBERLAIN HWY |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194196170 | Athena Peterson | Pharmacist | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-10-15 |
| 1104295054 | Target | Pharmacy | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-09-22 |
| 1730457938 | Rebecca Vitale | Pharmacist | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2011-12-02 |
| 1659650497 | Adam Bruce Plumley | Pharmacy Technician | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2011-08-10 |
| 1881988152 | Maggie Jean Cross | Pharmacist | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2011-06-04 |
| 1407908981 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1679566012 | Bbf Pharmacy Inc | Pharmacy | 7210 Highway K4, Suite A, Meriden, KS 66512-9389 | 2005-08-30 |
| 1992084081 | Big Y Foods, Inc | Pharmacy | 533 S Broad St, Meriden, CT 06450-6661 | 2011-08-08 |
| 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.