Organization Active NPI

Oxford Pharmacy Inc

  • Community/Retail Pharmacy
  • Oxford, CT
National Provider Identifier
1104876036
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0000392 Issued in CT
Legal business name
OXFORD PHARMACY INC
Practice address
100 Oxford Rd
Oxford, CT 06478-1990
Phone
(203) 888-4567
Fax
(203) 888-6625
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Frank Diaferio, RPHNPI 1114397379
Title
V Pres
Phone
(203) 888-4567

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PCY.0000392 CT Primary

Addresses

Primary practice location

100 Oxford Rd
Oxford, CT 06478-1990

Mailing address

100 Oxford Rd
Oxford, CT 06478-1990
Phone (203) 888-4567

Other identifiers 2

IdentifierTypeStateIssuer
1999430OtherPK
4082913MedicaidCT

Other names 1

  • OXFORD PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930038537 CT DME Supplier - Pharmacy 7214055938 Practice locations: Oxford, CT
O20121030000045 CT Part B Supplier - Mass Immunization (Roster Biller Only) 7214055938 Practice locations: Oxford, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Oxford Pharmacy Inc100 Oxford Rd, Oxford, CT 06478-1943(203) 888-4567 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1104876036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OXFORD RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781990",
            "telephone_number": "203-888-4567",
            "fax_number": "203-888-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OXFORD RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781990",
            "telephone_number": "203-888-4567",
            "fax_number": "203-888-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "DIAFERIO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "V PRES",
        "authorized_official_telephone_number": "203-888-4567",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0000392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4082913",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OXFORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.