NPIMap

Organization Active NPI

Partners of Connecticut, LLC

  • Long Term Care Pharmacy
  • Bloomfield, CT
National Provider Identifier
1336170349
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2471 Issued in CT
Legal business name
PARTNERS OF CONNECTICUT, LLC
Practice address
111 Phoenix Xing Ste C
Bloomfield, CT 06002-5903
Phone
(860) 623-3000
Fax
(860) 623-3001
NPI assigned
Jul 6, 2006
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
James Matthews
Title
Coo
Phone
(609) 206-2664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 2471 CT Primary

Addresses

Primary practice location

111 Phoenix Xing Ste C
Bloomfield, CT 06002-5903

Mailing address

50 Lawrence Rd
Springfield, NJ 07081-3121
Phone (908) 931-9111

Other identifiers 3

IdentifierTypeStateIssuer
4239233MedicaidCT
0719685OtherNCPDP
0497941MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930054266 CT DME Supplier - Pharmacy 6901006857 Practice locations: East Windsor, CT

National Provider Directory

National Provider Directory

Locations

111 Phoenix Xing
Ste C
Bloomfield, CT 06002
Phone (860) 623-3000

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1336170349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAWRENCE RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813121",
            "telephone_number": "908-931-9111",
            "fax_number": "908-931-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PHOENIX XING STE C",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060025903",
            "telephone_number": "860-623-3000",
            "fax_number": "860-623-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "609-206-2664"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4239233",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0719685",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497941",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.