Connecticut CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

1424 Issued in CT

Legal business name

CONNECTICUT CVS PHARMACY LLC

Practice address

734 Bridgeport Ave
Milford, CT 06460-3169

Phone

(203) 877-8127

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Director, Payer Relations

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY # 01241 Doing business as

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Tax ID family

Connecticut CVS Pharmacy LLC167 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Old Saybrook, CT
  • NPI 1073617981
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Ridgefield, CT
  • NPI 1083026306
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Manchester, CT
  • NPI 1083636682
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Danbury, CT
  • NPI 1093810848
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Stamford, CT
  • NPI 1174923106
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Storrs, CT
  • NPI 1174931117
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Hamden, CT
  • NPI 1215564646
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • South Windsor, CT
  • NPI 1235233131
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Burlington, CT
  • NPI 1235233164
  NPD tax ID
• Connecticut CVS Pharmacy, L.L.C.

  • Pharmacy
  • East Haven, CT
  • NPI 1073617973
  NPD tax ID
• Connecticut CVS Pharmacy, L.L.C.

  • Pharmacy
  • Cheshire, CT
  • NPI 1073617999
  NPD tax ID
• Connecticut CVS Pharmacy, L.L.C.

  • Pharmacy
  • Windsor, CT
  • NPI 1083718902
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1144324054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603169",
            "telephone_number": "203-877-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "1424",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0714229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY # 01241",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Milford, CT
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.