Organization Active NPI

Roberts Pharmacy

  • Community/Retail Pharmacy
  • Madison, CT
National Provider Identifier
1225129562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2067 Issued in CT
Legal business name
ROBERTS PHARMACY
Practice address
514 Old Toll Rd
Madison, CT 06443-1822
Phone
(203) 421-3791
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tracy Morrison
Title
Pharmacist
Phone
(203) 421-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2067 CT Primary

Addresses

Primary practice location

514 Old Toll Rd
Madison, CT 06443-1822

Mailing address

514 Old Toll Rd
Madison, CT 06443-1822

Other identifiers 1

IdentifierTypeStateIssuer
PSY.2067OtherCTPHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

514 Old Toll Rd
Madison, CT 06443
Phone (203) 421-3791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225129562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OLD TOLL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OLD TOLL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431822",
            "telephone_number": "203-421-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "203-421-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PSY.2067",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.