Organization Active NPI

Qualicare Pharmacy LLC

  • Community/Retail Pharmacy
  • Manchester, CT
National Provider Identifier
1447557632
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.2242 Issued in CT
Legal business name
QUALICARE PHARMACY LLC
Practice address
342 Main St.
Manchester, CT 06040
Phone
(860) 643-3524
Fax
(860) 647-5760
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Tabatha Post
Title
Member
Phone
(860) 647-5608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY.2242 CT Primary

Addresses

Primary practice location

342 Main St.
Manchester, CT 06040

Mailing address

342 Main St.
Manchester, CT 06040
Phone (860) 643-3524

Other identifiers 1

IdentifierTypeStateIssuer
2129469OtherPK

Other names 1

  • QualiCare Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

342 Main St
Manchester, CT 06040
Phone (860) 643-3524

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1447557632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MAIN ST.",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-643-3524",
            "fax_number": "860-647-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 MAIN ST.",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-643-3524",
            "fax_number": "860-647-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "POST",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-647-5608"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QualiCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.