Active NPI
Suburban Pharmacy
- Durable Medical Equipment & Medical Supplies
- Hartford, CT
National Provider Identifier
1184803231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 PHARMACY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.