Bordonaro'S Pharmacy Inc.
Organization Active NPI Community/Retail Pharmacy · Portland, CT
NPI 1235201997 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1235201997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 752 (CT)
- Legal business name
- BORDONARO'S PHARMACY INC.
- Practice address
- 283 Main St
Portland, CT 06480-1856 - Phone
- (860) 342-3390
- Fax
- (860) 342-3391
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph E Bordonaro, RPH
- Title
- Owner Manager
- Phone
- (860) 342-3390
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 752 | CT | |
| Community/Retail Pharmacy | 3336C0003X | 752 | CT | Yes |
| Compounding Pharmacy | 3336C0004X | 752 | CT | |
| Long Term Care Pharmacy | 3336L0003X | 752 | CT |
Addresses
Primary practice location
283 Main St
Portland, CT 06480-1856
Mailing address
283 Main St
Portland, CT 06480-1856
Phone (860) 342-3390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004032512 | Medicaid | CT | |
| 0701549 | Other | CT | NABP |
| 12DME0003CT01 | Other | CT | BLUE CROSS DME |
| 004018933 | Other | CT | MEDICAID DME |
Other names
- THE MEDICINE CENTRE BORDONARO'S
Other providers in Portland, CT
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- Bordonaro'S Pharmacy Inc.
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- Jillian Cacopardo
- Justin Caskey
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- Carl CHI
All providers in Portland, CT · Community/Retail Pharmacy in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.