Active NPI
East Rock Pharmacy, LLC
- Durable Medical Equipment & Medical Supplies
- New Haven, CT
National Provider Identifier
1164764213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EAST ROCK PHARMACY, LLC
- Practice address
- 767 Orange St
New Haven, CT 06511-2534 - Phone
- (203) 691-5405
- NPI assigned
- Mar 26, 2013
- 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. Kawa Chan, RPH
- Title
- Pharmacist
- Phone
- (203) 691-5405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
767 Orange St
New Haven, CT 06511-2534
Mailing address
767 Orange St
New Haven, CT 06511-2534
Phone (203) 691-5405
National Provider Directory
National Provider Directory- Tax ID family
- Connecticut Pharmacy East Rock LTC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba East Rock Pharmacy
- Long Term Care Pharmacy
- Wallingford, CT
- NPI 1740578335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1164764213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 ORANGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112534",
"telephone_number": "203-691-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 ORANGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112534",
"telephone_number": "203-691-5405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST ROCK PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "KAWA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "203-691-5405",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
- E and P Home Health Agency
- E.H. Kaufman Enterprizes (Yale Surgical Company)
- Paula Eagan, CAC
- Ear Nose & Throat Medical and Surgical Group, LLC
- Joseph Lawrence Earles, MD
- David Alan Eaton Jr., MD
- Sarah Marie Eaton, MD
- James Preston Ebaugh II, M.D.
- Daniel Ebbs, DO, MS, NRP
- Hanel June Watkins Eberly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.