Target

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0013072 Issued in CT

Legal business name

TARGET

Practice address

474 Chamberlain Hwy
Meriden, CT 06451-1818

Phone

(203) 634-6060

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Athena Peterson, PHARMD

Title

Pharmacist

Phone

(203) 217-1562

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1104295054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 CHAMBERLAIN HWY",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 CHAMBERLAIN HWY",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511818",
            "telephone_number": "203-634-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "203-217-1562",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "0013072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gary F Tansino, MD
• David Mark Taraskevich, M.D.
• Rachid Tayoubi Idrissi I
• Noah Tedeschi, DPT, PT
• The Bradley Home
• The Connection Inc.
• The Curtis Home

• Community/Retail Pharmacy in Meriden, CT
• Providers in Meriden, 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 22, 2015; 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.