Pharmagen Laboratories

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PCY.0001773 Issued in CT

Legal business name

PHARMAGEN LABORATORIES

Practice address

30 Buxton Farms Road
Suite 110
Stamford, CT 06905

Phone

(203) 359-6323

Fax

(203) 359-6448

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Justin Barch

Title

Senior Vice President

Phone

(301) 455-0207

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bryce Laboratories Former legal business name

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1477574424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARMS ROAD",
            "address_2": "SUITE 110",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-359-6323",
            "fax_number": "203-359-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARMS ROAD",
            "address_2": "SUITE 110",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-359-6323",
            "fax_number": "203-359-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAGEN LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "BARCH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "301-455-0207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CT",
            "license": "PCY0001773",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CT",
            "license": "PCY.0001773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0719130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryce Laboratories",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Peyser Chiropractic
• Jason Peyser, D.C.
• Marc D Peyser, D.C.
• Caroline Pham, MD
• Pharmacy Healthcare Solutions LTD
• William J Phelan III, RRT
• Clarissa M Phelps, M.D.
• Steven Phelps
• Philip a Walker
• Lawrence Michael Philips

• Compounding Pharmacy in Stamford, CT
• Providers in Stamford, CT by specialty
• Compounding Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.