Active NPI
West Hartford Apothecary LLC
- Community/Retail Pharmacy
- West Hartford, CT
National Provider Identifier
1336714393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WEST HARTFORD APOTHECARY LLC
- Practice address
- 994 Farmington Ave Ste 5
West Hartford, CT 06107-2147 - Phone
- (860) 904-6063
- Fax
- (860) 519-0036
- NPI assigned
- May 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Manion
- Title
- President
- Phone
- (860) 343-5220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
994 Farmington Ave Ste 5
West Hartford, CT 06107-2147
Mailing address
994 Farmington Ave
West Hartford, CT 06107-2147
Phone (860) 904-6063
Other names 1
- West Hartford Apothecary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260408002072 | CT | Part B Supplier - Pharmacy | 4688113459 | Practice locations: West Hartford, CT |
National Provider Directory
National Provider DirectoryLocations
994 Farmington Ave
West Hartford, CT 06107
Phone (860) 904-6063
994 Farmington Ave
Ste 5
West Hartford, CT 06107
Phone (860) 904-6063
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Charlotte, NC
- NPI 1639543911
-
- Pharmacist
- West Hartford, CT
- NPI 1255066692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1336714393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072147",
"telephone_number": "860-904-6063",
"fax_number": "860-519-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 FARMINGTON AVE STE 5",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072147",
"telephone_number": "860-904-6063",
"fax_number": "860-519-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST HARTFORD APOTHECARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-22",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "MANION",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-343-5220"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Hartford Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.