Pioneer Health Compounding Pharmcacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PCY.1828 Issued in CT

Legal business name

PIONEER HEALTH COMPOUNDING PHARMCACY

Practice address

520 Hartford Tpke
Suite D
Vernon, CT 06066-5037

Phone

(860) 979-0089

Fax

(860) 989-0091

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Eugene Gresh Jr.NPI 1326403262

Title

Owner

Phone

(860) 979-0089

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene W Gresh Jr., R.PH.

  • Pharmacist
  • Vernon, CT
  • NPI 1326403262
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316062904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HARTFORD TPKE",
            "address_2": "SUITE D",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665037",
            "telephone_number": "860-979-0089",
            "fax_number": "860-989-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTFORD TPKE",
            "address_2": "SUITE D",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665037",
            "telephone_number": "860-979-0089",
            "fax_number": "860-989-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH COMPOUNDING PHARMCACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-979-0089",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CT",
            "license": "PCY.1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilie Karen Pessagno, OTRL
• Petalu'Da Autism Services LLC
• Christina Lynn Pettengill, MA, BCBA, LBA
• Mackenzie Phelps, LCSW
• Marlaine Philpotts, R.D.
• Karen Piorkowski, M.D.
• Jessica Pozzato
• Rina Lad Prajapati, B.A.
• Steve Jared Pratt
• Pro Eye Inc

• Compounding Pharmacy in Vernon, CT
• Providers in Vernon, CT by specialty
• Compounding Pharmacy in Connecticut

• 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.