Organization Active NPI

Suburban Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Hartford, CT
National Provider Identifier
1184803231
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUBURBAN PHARMACY
Practice address
100 Retreat Ave
Hartford, CT 06106-2528
Phone
(860) 236-0755
NPI assigned
Oct 25, 2007
Organization subpart
Yes
Parent organization
SUBURBAN PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Laurence S Ratner
Title
President
Phone
(860) 882-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

100 Retreat Ave
Hartford, CT 06106-2528

Mailing address

344 N Main St
West Hartford, CT 06117-2510
Phone (860) 882-1800

National Provider Directory

National Provider Directory
Part of
Suburban Pharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1184803231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172510",
            "telephone_number": "860-882-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062528",
            "telephone_number": "860-236-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBURBAN PHARMACY",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "RATNER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-882-1800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 25, 2007; 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.