Organization Active NPI

McQuades Marketplace Pharmacy

  • Long Term Care Pharmacy
  • Mystic, CT
National Provider Identifier
1073153466
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MCQUADES MARKETPLACE PHARMACY
Practice address
14 Clara Dr
Mystic, CT 06355
Phone
(860) 536-3349
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Courtney N McQuadeNPI 1225499916
Title
Owner
Phone
(860) 536-4606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

14 Clara Dr
Mystic, CT 06355

Mailing address

14 Clara Dr
Mystic, CT 06355-1973
Phone (860) 536-3349

Other identifiers 1

IdentifierTypeStateIssuer
004140836MedicaidCT

National Provider Directory

National Provider Directory

Locations

14 Clara Dr
Mystic, CT 06355
Phone (860) 245-0565

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1073153466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLARA DR",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551973",
            "telephone_number": "860-536-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CLARA DR",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "06355",
            "telephone_number": "860-536-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCQUADES MARKETPLACE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MCQUADE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-536-4606"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140836",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.