Shoreline Integrative Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY2342 Issued in CT

Legal business name

SHORELINE INTEGRATIVE PHARMACY LLC

Doing business as

Shoreline Integrative Pharmacy

Practice address

1835 Post Rd E
Westport, CT 06880-5666

Phone

(203) 309-3783

Fax

(203) 517-4155

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Phillip HeinNPI 1770026726

Title

Owner, Managing Member, Ao

Phone

(203) 451-8852

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• SHORELINE INTEGRATIVE PHARMACY Doing business as

Locations

Practitioners 2

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

• Phillip Hein

  • Pharmacy
  • Westport, CT
  • NPI 1770026726
  NPD Authorized official
• Robin Massa, RPH

  • Pharmacist
  • Westport, CT
  • NPI 1942713904
  NPD

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1326582776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 POST RD E STE 1",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805678",
            "telephone_number": "203-309-3783",
            "fax_number": "203-517-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805666",
            "telephone_number": "203-309-3783",
            "fax_number": "203-517-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE INTEGRATIVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER, AO",
        "authorized_official_telephone_number": "203-451-8852"
    },
    "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": "PCY2342",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHORELINE INTEGRATIVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHORELINE INTEGRATIVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalva Clinic
• Shari Goldstein
• Rouzi Shengelia, M.D.
• Sheraton Caregivers
• Boris V Sheynberg, MD
• Shoreline Therapy Center of Southwest CT LLC
• Shreya Patel OD, PC
• Kenneth Hillel Shubin Stein, M.D.
• Robban Ariel Sica, M.D.
• Jessica Gail Siegel, LCSW

• Community/Retail Pharmacy in Westport, CT
• Providers in Westport, 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 Jun 4, 2019; 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.