Naugatuck Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2310 Issued in CT

Legal business name

NAUGATUCK PHARMACY

Practice address

153 Maple St
Naugatuck, CT 06770-4256

Phone

(203) 632-8380

Fax

(203) 632-8429

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Sanjay Patel

Title

President

Phone

(203) 583-6889

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Naugatuck Pharmacy Doing business as

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733616000000",
    "number": "1275926990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAPLE ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704256",
            "telephone_number": "203-632-8380",
            "fax_number": "203-632-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAPLE ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704256",
            "telephone_number": "203-632-8380",
            "fax_number": "203-632-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUGATUCK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-583-6889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008062816",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008059580",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naugatuck Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Naugatuck, CT
• Providers in Naugatuck, 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 Dec 8, 2024; 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.