Organization Active NPI

MGFN Corp

  • Community/Retail Pharmacy
  • New London, CT
National Provider Identifier
1154332641
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MGFN CORP
Practice address
613 Broad St
New London, CT 06320-2544
Phone
(860) 442-0669
Fax
(860) 442-4513
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Nagy Wassef, RPH
Title
Owner Pharmacist
Phone
(860) 442-0669

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1118 CT
Pharmacy 333600000X 1118 CT
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X 1118 CT

Addresses

Primary practice location

613 Broad St
New London, CT 06320-2544

Mailing address

613 Broad St
New London, CT 06320-2544
Phone (860) 442-0669

Other identifiers 3

IdentifierTypeStateIssuer
004256310MedicaidCT
0710067OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4257475MedicaidCT

National Provider Directory

National Provider Directory

Locations

613 Broad St
New London, CT 06320
Phone (860) 442-0669

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154332641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BROAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202544",
            "telephone_number": "860-442-0669",
            "fax_number": "860-442-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 BROAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202544",
            "telephone_number": "860-442-0669",
            "fax_number": "860-442-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGFN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "NAGY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "860-442-0669",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "1118",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "1118",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "1118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004256310",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0710067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4257475",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.