Pharmacity LLC
Organization Active NPI Community/Retail Pharmacy · Storrs Mansfield, CT
NPI 1013190776 · NPPES record last updated Jul 15, 2009
Key facts
- NPI
- 1013190776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PCY0000645 (CT)
- Legal business name
- PHARMACITY LLC
- Practice address
- 1232 Storrs Rd
Ste 6
Storrs Mansfield, CT 06268-2232 - Phone
- (860) 429-9365
- Fax
- (860) 429-0043
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Naufel Tajudeen
- Title
- Owner
- Phone
- (732) 766-1151
Practitioners 2
-
C. John Ferreri, RPH
-
Ami H Tajudeen, PHARMD
National Provider Directory
Locations
1232 Storrs Rd
Ste 6
Storrs Mansfield, CT 06268
Phone (860) 429-9365
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PCY0000645 | CT | Yes |
Addresses
Primary practice location
1232 Storrs Rd
Ste 6
Storrs Mansfield, CT 06268-2232
Mailing address
1232 Storrs Rd
Ste 6
Storrs Mansfield, CT 06268-2232
Phone (860) 429-9365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0720979 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 500000216 | Medicaid | CT |
Other names
- STORRS DRUG
Other providers in Storrs Mansfield, CT
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- Neil Olson
- Maya Paulose
- Jillian Picard-Busky
- Price Chopper Inc
- Ravenswood Psychiatric Services, P.L.L.C.
- Holly Elizabeth Rawson
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All providers in Storrs Mansfield, CT · Community/Retail Pharmacy in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.