Plainville Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0002355 Issued in CT

Legal business name

PLAINVILLE COMMUNITY PHARMACY LLC

Practice address

170 East Street
Plainville, CT 06062

Phone

(860) 222-9422

NPI assigned

Apr 13, 2017

Last updated

Apr 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suruchi PatelNPI 1982114831

Title

Owner/Pharmacy Manager

Phone

(201) 772-4681

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT3 enrollments

Enrollment records 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suruchi Patel

  • Pharmacist
  • Plainville, CT
  • NPI 1982114831
  NPD Authorized official

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1013441385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOLL GATE ROAD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "06037",
            "telephone_number": "201-772-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EAST STREET",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "860-222-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVILLE COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURUCHI",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "201-772-4681"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Pinkerton
• Pinnacle Physical Therapy,LLC
• Heather Catherine Pizzanello, LCSW
• Plainville Chiropractic Inc
• Plainville Chiropractic LLC
• Plainville Community Schools
• Plainville Dental Associates LLC
• Plainville Dental PLLC
• Plainville Health Care Center Inc.
• Plainville Optical

• Community/Retail Pharmacy in Plainville, CT
• Providers in Plainville, 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 Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.