Nostrumrx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NOSTRUMRX LLC

Practice address

2286 Berlin Tpke
Newington, CT 06111-3202

Phone

(860) 430-4738

Fax

(860) 757-3576

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Ryan Manion, PHARM DNPI 1639543911

Title

Owner

Phone

(860) 343-5220

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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

• Ryan Manion

  • Pharmacist
  • Charlotte, NC
  • NPI 1639543911
  NPD Authorized official
• Phong Kieu

  • Pharmacist
  • Newington, CT
  • NPI 1861923336
  NPD (past)
• Lynda Lee Lorenzo, RPH

  • Pharmacist
  • Newington, CT
  • NPI 1093844284
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1093204604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 BERLIN TURNPIKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-430-4738",
            "fax_number": "860-757-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2286 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113202",
            "telephone_number": "860-430-4738",
            "fax_number": "860-757-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRUMRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-343-5220",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuy Thanh Nguyen
• Wendy Nichols, PT
• Janis M Nicholson, MA,APRN,CS
• Northeast Dietitian LLC
• Victoria Norton
• Samantha Nunes, LCSW
• Delia O'Connor, PT
• Lisa O'Donovan, MD
• Sean O'Gara, PT, DPT
• Karen O'Konis, PT

• All providers in Newington, CT
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.