Mile Hill Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MILE HILL PHARMACY LLC

Doing business as

Medicine Shoppe

Practice address

79 East St
Rockville, CT 06066-3845

Phone

(860) 875-2507

Fax

(860) 870-8160

NPI assigned

Nov 27, 2006

Last updated

May 30, 2013By 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

Michael Vetica, RPH

Title

Owner

Phone

(860) 875-2507

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1023184785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 EAST ST",
            "city": "ROCKVILLE",
            "state": "CT",
            "postal_code": "060663845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 EAST ST",
            "city": "ROCKVILLE",
            "state": "CT",
            "postal_code": "060663845",
            "telephone_number": "860-875-2507",
            "fax_number": "860-870-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "VETICA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-875-2507",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "0000793",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "0793",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0706272",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004030383",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edna J. Arrieta, MD
• Kathleen Marie Bannon, APRN
• Sharon K Hayman, LMFT
• Health Resources of Rockville, Inc (Fox Hill Center)
• Mark Carmen Napiello, LMFT
• John Arthur Ohlund, R.PH
• Robyn Pemberton, MD

• Community/Retail Pharmacy in Rockville, CT
• Providers in Rockville, 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 May 30, 2013; 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.