Organization Active NPI

High Ridge Road Drug Corporation

  • Community/Retail Pharmacy
  • Stamford, CT
National Provider Identifier
1396709853
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HIGH RIDGE ROAD DRUG CORPORATION
Practice address
1055 High Ridge Rd
Stamford, CT 06905-1121
Phone
(203) 322-7654
Fax
(203) 968-9868
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Philip James Mayo, RPH
Title
Owner and RPH
Phone
(203) 322-7654

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 677 CT
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1055 High Ridge Rd
Stamford, CT 06905-1121

Mailing address

1055 High Ridge Rd
Stamford, CT 06905-1121
Phone (203) 322-7654

Other identifiers 1

IdentifierTypeStateIssuer
0700066OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SILADI PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1396709853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051121",
            "telephone_number": "203-322-7654",
            "fax_number": "203-968-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051121",
            "telephone_number": "203-322-7654",
            "fax_number": "203-968-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH RIDGE ROAD DRUG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER AND RPH",
        "authorized_official_telephone_number": "203-322-7654",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "677",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0700066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILADI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.