Southwood Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

528 Issued in CT

Legal business name

SOUTHWOOD PHARMACY, INC

Practice address

89 Raffia Rd
Enfield, CT 06082-5157

Phone

(860) 749-8334

Fax

(860) 749-8156

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Szewczyk, BS

Title

Pres

Phone

(860) 749-8334

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTHWOOD PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Anthony Szewczyk, RPH

  • Pharmacist
  • Enfield, CT
  • NPI 1629243258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1003968488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 RAFFIA RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825157",
            "telephone_number": "860-749-8334",
            "fax_number": "860-749-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 RAFFIA RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825157",
            "telephone_number": "860-749-8334",
            "fax_number": "860-749-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOOD PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SZEWCZYK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "860-749-8334",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0708353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004028817",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Sosa
• Eduardo Soto
• Christine Soucy
• Emily Soucy
• Kristin M Soule, LMSW
• Ashley Sovinski
• Christine Ann Spare
• Specialized Counseling Services LLC
• William Bruce Spector, MD
• Stephany Spence, LMSW

• Community/Retail Pharmacy in Enfield, CT
• Providers in Enfield, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.