CONNECTICUT CVS PHARMACY, L.L.C. (NPI# 1699879510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699879510 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 02143 |
| Practice Address |
3710 Main St Bridgeport CT 06606-3613 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2033711280 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-12 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1587 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0716817 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 02143 | 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 |
| 1497905830 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 675 Washington St, Middletown, CT 06457-2901 | 2008-09-23 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT CVS PHARMACY, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
3710 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712542 | Shaymaa Salama | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2017-11-04 |
| 1558719138 | Razanne Abdalla | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2016-05-24 |
| 1538513254 | Sharon George | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2016-04-19 |
| 1710341318 | Shpetim Kamberi | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2016-04-09 |
| 1710341573 | Samuel Safo | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2016-04-07 |
| 1699137711 | Henry Wong | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2016-03-28 |
| 1659697852 | Abu Hasan Ahmed | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1023475449 | Albion - Hancock Pharmacy LLC | Pharmacy | 2125 Fairfield Ave, Bridgeport, CT 06605-2639 | 2016-01-16 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1598002479 | Medplex Pharmacy LLC | Pharmacy | 6318 Dixie Hwy, Bridgeport, MI 48722-9566 | 2013-01-11 |
| 1851624407 | B & L Drugs Inc | Pharmacy | 50452 Al Highway 277, Bridgeport, AL 35740-6517 | 2009-09-15 |
| 1588821789 | Bridgeport Pharmacy LLC | Pharmacy | 978 E Main St, Bridgeport, CT 06608-1913 | 2008-05-16 |
| 1164568721 | W Dale Gross | Pharmacy | 2520 Foster Ave, Bridgeport, WA 98813-1029 | 2007-01-30 |
| 1881751287 | Longbines Pharmacy Inc | Pharmacy | 810 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2007-01-03 |
| 1902913189 | Kph Healthcare Services, Inc. | Pharmacy | 7998 Route 31, Bridgeport, NY 13030-9473 | 2006-08-24 |
| 1386679488 | Stop and Shop Supermarket Co LLC | Pharmacy | 4531 Main St, Bridgeport, CT 06606-1818 | 2006-07-11 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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.