Community Health RX #2, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY HEALTH RX #2, INC.

Doing business as

Shoreline Family Rx

Practice address

221 W Main St
Branford, CT 06405-4022

Phone

(617) 605-9336

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caleb Desrosiers

Title

President

Phone

(617) 605-9336

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Family Rx Doing business as

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1114578630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054022",
            "telephone_number": "617-605-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH RX #2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "DESROSIERS",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-605-9336"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Family Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin D. Cohen, RPT, D-EDX
• Ryan Leslie Cole, MBA, BSN, RN, DNP-NE
• Melanie Jerilyn Coletta, AGACNP-BC; AGPCNP-BC
• Sarah Coley, M.S., CCC-SLP
• Amanda Comeau, PA-C
• Alyse Marie Como, APRN
• Comprehensive Prosthetic Services LLC
• Jeri A Conlon, RN
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 00172)
• Connecticut Orthopaedic Specialists Outpatient Surgical Center LLC

• Community/Retail Pharmacy in Branford, CT
• Providers in Branford, 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 25, 2019; 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.