Mackenzies Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

208 Issued in CT

Legal business name

MACKENZIES PHARMACY INC

Doing business as

Mackenzies Pharmacy

Practice address

930 White Plains Rd
Trumbull, CT 06611-4550

Phone

(203) 261-2541

Fax

(203) 268-5836

NPI assigned

Jun 13, 2005

Last updated

May 15, 2013By 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

Pat Santella, RPHNPI 1437202827

Title

Owner Manager

Phone

(203) 261-2541

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MACKENZIES PHARMACY Doing business as

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.

• Pat J Santella, RPH

  • Pharmacist
  • Fairfield, CT
  • NPI 1437202827
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1427052844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BLACKBERRY RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113981",
            "telephone_number": "203-261-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114550",
            "telephone_number": "203-261-2541",
            "fax_number": "203-268-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKENZIES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "SANTELLA",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "203-261-2541",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004032504",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0709785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACKENZIES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Trumbull, CT
• Providers in Trumbull, 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 May 15, 2013; 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.