Active NPI
New Haven RX LLC
Doing business as New Haven Pharmacy
- Community/Retail Pharmacy
- New Haven, WV
National Provider Identifier
1336856988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NEW HAVEN RX LLC
- Doing business as
- New Haven Pharmacy
- Practice address
- 307 5TH St
New Haven, WV 25265-4100 - Phone
- (304) 882-2005
- NPI assigned
- Nov 2, 2022
- Last updated
- Feb 16, 2023
- 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
- Heli Chaudhari, PHARM D
- Title
- Owner
- Phone
- (201) 892-4938
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
307 5TH St
New Haven, WV 25265-4100
Mailing address
PO Box 186
New Haven, WV 25265-0186
Phone (304) 882-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | WV | NA |
Other names 1
- NEW HAVEN PHARMACY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | USB_HARDDRIVE | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- New Haven Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- New Haven, WV
- NPI 1902616485
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- New Haven, WV
- NPI 1689020109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1336856988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "NEW HAVEN",
"state": "WV",
"postal_code": "252650186",
"telephone_number": "304-882-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 5TH ST",
"city": "NEW HAVEN",
"state": "WV",
"postal_code": "252654100",
"telephone_number": "304-882-2005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HAVEN RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-02",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A",
"authorized_official_last_name": "CHAUDHARI",
"authorized_official_first_name": "HELI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-892-4938",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "USB_HARDDRIVE",
"affiliation": "N",
"endpointDescription": "HARDDRIVE",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "307 5th St",
"city": "New Haven",
"state": "WV",
"country_code": "US",
"postal_code": "252654100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "NEW HAVEN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NEW HAVEN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Haven, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.