Organization Active NPI

C & D Pharmacy Services, Inc.

  • Community/Retail Pharmacy
  • Stamford, CT
National Provider Identifier
1053676387
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0002241 Issued in CT
Legal business name
C & D PHARMACY SERVICES, INC.
Practice address
134 Stillwater Ave
Stamford, CT 06902-4839
Phone
(203) 324-0251
Fax
(203) 348-0693
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Mr. Marawan El TabibNPI 1801222971
Title
Owner
Phone
(203) 324-0251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0002241 CT
Community/Retail Pharmacy 3336C0003X 0002241 CT Primary

Addresses

Primary practice location

134 Stillwater Ave
Stamford, CT 06902-4839

Mailing address

134 Stillwater Ave
Stamford, CT 06902-4839
Phone (203) 324-0251

Other identifiers 1

IdentifierTypeStateIssuer
008042550MedicaidCT

Other names 1

  • Cornerstone Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002001000 CT Part B Supplier - Mass Immunization (Roster Biller Only) 3476778259 Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

134 Stillwater Ave
Stamford, CT 06902
Phone (203) 324-0251

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1053676387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 STILLWATER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024839",
            "telephone_number": "203-324-0251",
            "fax_number": "203-348-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 STILLWATER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024839",
            "telephone_number": "203-324-0251",
            "fax_number": "203-348-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & D PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "EL TABIB",
        "authorized_official_first_name": "MARAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-324-0251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "0002241",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "0002241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008042550",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.