Nelson'S Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NELSON'S PHARMACY, INC.

Practice address

153 Maple St
Naugatuck, CT 06770-4256

Phone

(203) 729-2297

Fax

(203) 729-1134

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Giriaco John Russo, RPH

Title

President

Phone

(203) 729-2297

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1023180973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAPLE ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704256",
            "telephone_number": "203-729-2297",
            "fax_number": "203-729-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAPLE ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704256",
            "telephone_number": "203-729-2297",
            "fax_number": "203-729-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "GIRIACO",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-729-2297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004073995",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER ID",
            "identifier": "040690001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naugatuck Pediatrics, LLC
• Naugatuck Pharmacy
• Naugatuck Pharmacy RX LLC
• Sheila I Negron
• Nelson'S Pharmacy
• New Streams LLC
• Kenneth R Newton, MD
• Meena Niazi
• Stacy Nichols, LPC
• Britnee Noble

• Community/Retail Pharmacy in Naugatuck, CT
• Providers in Naugatuck, 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 Sep 2, 2014; 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.