Kenneth Meady

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0001133 Issued in CT

Legal business name

KENNETH MEADY

Practice address

95 Main St S
Bethlehem, CT 06751-2004

Phone

(203) 266-7801

Fax

(203) 266-5321

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Meady

Title

Owner

Phone

(203) 266-7801

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TOWNE APOTHECARY LLCC Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1295740892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAIN ST S",
            "address_2": "PO BOX 9",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067512004",
            "telephone_number": "203-266-7801",
            "fax_number": "203-266-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST S",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067512004",
            "telephone_number": "203-266-7801",
            "fax_number": "203-266-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH MEADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "MEADY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-266-7801"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004032249",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWNE APOTHECARY LLCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOWNE APOTHECARY LLCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Fortune, MD
• Gina Marie Funicello, LMSW
• Sharon R Gomes, LCSW
• Healing Hoofbeats of CT, Inc
• Keith H. Wade DMD PC
• James M. Lee, D.D.S.
• Holly Andrea Leever
• Litchfield Counseling LLC
• Marisa Mastrianno, LPC
• Michel C Mennesson, M.D.

• Community/Retail Pharmacy in Bethlehem, CT
• Providers in Bethlehem, 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 Sep 11, 2023; 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.