Active NPI
Norwalk Pharmacy LLC
- Community/Retail Pharmacy
- Norwalk, CT
National Provider Identifier
1134445810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PCY0002172
- Legal business name
- NORWALK PHARMACY LLC
- Practice address
- 250 Westport Ave
Norwalk, CT 06851-4158 - Phone
- (203) 956-0526
- Fax
- (203) 956-0528
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Y Lee
- Title
- Pharmacy Manager
- Phone
- (203) 956-0526
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PCY0002172 | CT | Primary |
Addresses
Primary practice location
250 Westport Ave
Norwalk, CT 06851-4158
Mailing address
250 Westport Ave
Norwalk, CT 06851-4158
Phone (203) 956-0526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140609001955 | CT | DME Supplier - Pharmacy | 6901020106 | Practice locations: Norwalk, CT |
| O20161102002659 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 6901020106 | Practice locations: Norwalk, CT |
| O20201203002039 | CT | Part B Supplier - Pharmacy | 6901020106 | Practice locations: Norwalk, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Norwalk Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
250 Westport Ave
Norwalk, CT 06851
Phone (203) 956-0526
250 Westport Ave
Ste 4
Norwalk, CT 06851
Phone (203) 956-0526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1134445810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WESTPORT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514158",
"telephone_number": "203-956-0526",
"fax_number": "203-956-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WESTPORT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514158",
"telephone_number": "203-956-0526",
"fax_number": "203-956-0528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWALK PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "203-956-0526",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "PCY0002172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
- Norwalk Medical Group, PC
- Norwalk Operations LLC
- Norwalk Orthodontics
- Norwalk Orthodontics Associattes
- Norwalk Pathology Associates, P.C.
- Norwalk Public Schools
- Norwalk Pulmonary Consultants,PC
- Norwalk Radiology & Mammography Center
- Norwalk Radiology Consultants PC
- Norwalk Rehabilitation Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.