Organization Active NPI

Maple Pharmacy LLC

  • Community/Retail Pharmacy
  • Hartford, CT
National Provider Identifier
1275070872
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0002348 Issued in CT
Legal business name
MAPLE PHARMACY LLC
Practice address
697 Maple Ave
Hartford, CT 06114-1856
Phone
(860) 969-4400
Fax
(860) 904-2092
NPI assigned
Jan 21, 2017
Last updated
Jun 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Sharon MasaydaNPI 1225513146
Title
President
Phone
(860) 969-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PCY.0002348 CT Primary

Addresses

Primary practice location

697 Maple Ave
Hartford, CT 06114-1856

Mailing address

697 Maple Ave
Hartford, CT 06114-1856
Phone (860) 969-4400

Other identifiers 1

IdentifierTypeStateIssuer
2167897OtherPK

National Provider Directory

National Provider Directory

Locations

697 Maple Ave
Hartford, CT 06114
Phone (860) 960-5914

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": "1484956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1275070872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141856",
            "telephone_number": "860-969-4400",
            "fax_number": "860-904-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141856",
            "telephone_number": "860-969-4400",
            "fax_number": "860-904-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-21",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "MASAYDA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-969-4400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167897",
            "state": null
        }
    ],
    "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 Jun 18, 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.