Organization Active NPI

Healthcare LLC

  • Community/Retail Pharmacy
  • Hartford, CT
National Provider Identifier
1174069413
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0002345 Issued in CT
Legal business name
HEALTHCARE LLC
Practice address
740 Maple Ave
Hartford, CT 06114-2314
Phone
(860) 263-8585
Fax
(860) 904-5010
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Rekha BheemireddyNPI 1558755447
Title
President, Ao
Phone
(203) 645-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PCY.0002345 CT Primary

Addresses

Primary practice location

740 Maple Ave
Hartford, CT 06114-2314

Mailing address

965 Elm Commons Dr
Apt 106
Rocky Hill, CT 06067-1833
Phone (312) 508-0540

Other identifiers 1

IdentifierTypeStateIssuer
2167236OtherPK

Other names 1

  • Health Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1174069413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 ELM COMMONS DR",
            "address_2": "APT 106",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671833",
            "telephone_number": "312-508-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142314",
            "telephone_number": "860-263-8585",
            "fax_number": "860-904-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BHEEMIREDDY",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "PRESIDENT, AO",
        "authorized_official_telephone_number": "203-645-1450"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.