Brass City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRASS CITY PHARMACY INC

Practice address

558 Chase Ave
Suite 2B
Waterbury, CT 06704-1947

Phone

(203) 759-5000

Fax

(203) 759-5002

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Sreenivasa Nallapareddygari

Title

Ceo/President

Phone

(810) 624-5088

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1205237476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 CHASE AVE",
            "address_2": "SUITE 2B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041947",
            "telephone_number": "203-759-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 CHASE AVE",
            "address_2": "SUITE 2B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041947",
            "telephone_number": "203-759-5000",
            "fax_number": "203-759-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASS CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "NALLAPAREDDYGARI",
        "authorized_official_first_name": "SREENIVASA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "810-624-5088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J. Branden, M.D.
• Lacey A Brandon
• Brass City Chiropractic Center, LLC
• Brass City Counseling.
• Brass City Dentistry
• Brass Mill Mall Dental L.L.P
• Brass Mill Pharmacy, LLC
• Miguel Angel Bravo Jr., MD
• Ashley Brea
• Erin L Bredefeld, LPC

• Community/Retail Pharmacy in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.