Organization Active NPI

Hancock Pharmacy VI LLC

Doing business as Hancock Pharmacy VI

  • Community/Retail Pharmacy
  • Ansonia, CT
National Provider Identifier
1356668362
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0002176 Issued in CT
Legal business name
HANCOCK PHARMACY VI LLC
Doing business as
Hancock Pharmacy VI
Practice address
95 Wakelee Ave
Ansonia, CT 06401-1151
Phone
(203) 734-8900
Fax
(203) 734-8903
NPI assigned
Apr 29, 2010
Last updated
Apr 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Saikrishna ChalasaniNPI 1831521954
Title
Member
Phone
(203) 734-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY.0002176 CT Primary

Addresses

Primary practice location

95 Wakelee Ave
Ansonia, CT 06401-1151

Mailing address

95 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 734-8900

Other identifiers 2

IdentifierTypeStateIssuer
2124969OtherPK
008021293MedicaidCT

Other names 1

  • HANCOCK PHARMACY VI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110912000100 CT DME Supplier - Pharmacy 5799956397 Practice locations: Ansonia, CT
O20210107000167 CT Part B Supplier - Pharmacy 5799956397 Practice locations: Ansonia, CT

National Provider Directory

National Provider Directory

Locations

95 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-8900

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1356668362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011151",
            "telephone_number": "203-734-8900",
            "fax_number": "203-734-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011151",
            "telephone_number": "203-734-8900",
            "fax_number": "203-734-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK PHARMACY VI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "SAIKRISHNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-734-8900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124969",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008021293",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANCOCK PHARMACY VI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.