Norwich Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORWICH PHARMACY LLC

Practice address

77 Salem Tpke Ste 104
Norwich, CT 06360-6483

Phone

(347) 635-2419

NPI assigned

Jun 29, 2022

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zain AzamNPI 1750884599

Title

Owner

Phone

(860) 383-2630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Norwich Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Norwich Pharmacy LLC

  dba Norwich Pharmacy LTC

  • Long Term Care Pharmacy
  • Norwich, CT
  • NPI 1932060365
  NPD tax ID

Locations

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.

• Zain Azam

  • Pharmacist
  • Norwich, CT
  • NPI 1750884599
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1376275206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SALEM TPKE STE 104",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606483",
            "telephone_number": "860-383-2630",
            "fax_number": "860-383-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SALEM TPKE STE 104",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606483",
            "telephone_number": "347-635-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-383-2630"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norwich Ophthalmology Optical (Eye Q Optical)
• Norwich Optometry LLC
• Norwich Oral & Maxillofacial Surgeons, PC
• Norwich Pathology Consultants, P.C.
• Norwich Pediatric Group, P.C.
• Norwich Pharmacy LLC (Norwich Pharmacy LTC)
• Norwich Psychiatric Center
• Norwich Sleep Center, LLC
• Norwich Smiles Family Dentistry
• Norwich VA Clinic

• Community/Retail Pharmacy in Norwich, CT
• Providers in Norwich, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.