Active NPI
Vitoria Connecticut LLC
- Long Term Care Pharmacy
- West Hartford, CT
National Provider Identifier
1184534646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- VITORIA CONNECTICUT LLC
- Practice address
- 342 N Main St
West Hartford, CT 06117-2500 - Phone
- (502) 817-8620
- NPI assigned
- Sep 8, 2026
- 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
- Douglas Robert Russell, RPH
- Title
- Ceo
- Phone
- (502) 817-8620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
342 N Main St
West Hartford, CT 06117-2500
Mailing address
4601 SW 25TH PL
Cape Coral, FL 33914-6144
Phone (502) 817-8620
Other names 1
- Suburban LTC Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1184534646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 SW 25TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146144",
"telephone_number": "502-817-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172500",
"telephone_number": "502-817-8620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITORIA CONNECTICUT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-817-8620",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suburban LTC Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.