Columbus Chemists LLC
Organization Active NPI Community/Retail Pharmacy · New Haven, CT
NPI 1154569481 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1154569481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PCY2133 (CT)
- Legal business name
- COLUMBUS CHEMISTS LLC
- Practice address
- 615 Howard Ave
New Haven, CT 06519-2112 - Phone
- (203) 562-4447
- Fax
- (203) 562-4448
- NPI assigned
- Jan 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Chandra S Vipparla
- Title
- Pharmacy Manager
- Phone
- (203) 785-9001
Practitioners 3
-
Chandra S Vipparla, RPH
-
Christian Federici, PHAMD
-
Sunil Kumar Tickoo, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110328000492 | CT | DME Supplier - Pharmacy | 6406039502 | Practice locations: New Haven, CT |
| O20201104002095 | CT | Part B Supplier - Pharmacy | 6406039502 | Practice locations: New Haven, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PCY2133 | CT | |
| Community/Retail Pharmacy | 3336C0003X | PCY2133 | CT | Yes |
| Compounding Pharmacy | 3336C0004X | PCY2133 | CT |
Addresses
Primary practice location
615 Howard Ave
New Haven, CT 06519-2112
Mailing address
615 Howard Ave
New Haven, CT 06519-2112
Phone (203) 562-4447
Other names
- Berneys Pharmacy
Other providers in New Haven, CT
- Kharla Colon-Vazquez
- Emanuel Colon
- Vanessa Colon
- Christine Cassandra Colton
- Kathryn Mary Colucci
- Columbus Chemists LLC
- Thomas John Coman
- Meykiw Comas-Fong
- Alexa Cometz
- Community Behavioral Health
All providers in New Haven, CT · Community/Retail Pharmacy in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.