Organization Active NPI

West Hartford Apothecary LLC

  • Community/Retail Pharmacy
  • West Hartford, CT
National Provider Identifier
1336714393
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Ryan ManionNPI 1639543911
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408002072 CT Part B Supplier - Pharmacy 4688113459 Practice locations: West Hartford, CT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.