NPIMap

Organization Active NPI

Bridgeport Community Pharmacy LLC

  • Community/Retail Pharmacy
  • Bridgeport, CT
National Provider Identifier
1437529286
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRIDGEPORT COMMUNITY PHARMACY LLC
Practice address
850 State St
Bridgeport, CT 06604-3728
Phone
(203) 330-9191
Fax
(203) 330-9193
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Mohammad S Iqbal, PHARMD
Title
Owner
Phone
(203) 330-9191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02321 CT
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

850 State St
Bridgeport, CT 06604-3728

Mailing address

850 State St
Bridgeport, CT 06604-3728
Phone (203) 330-9191

National Provider Directory

National Provider Directory

Locations

192 Fairfield Ave
Bridgeport, CT 06604
Phone (203) 330-9191

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1437529286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STATE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043728",
            "telephone_number": "203-330-9191",
            "fax_number": "203-330-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STATE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043728",
            "telephone_number": "203-330-9191",
            "fax_number": "203-330-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-330-9191",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "02321",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.