NPIMap

Organization Active NPI

Connecticut Pharmacy Direct LLC

  • Specialty Pharmacy
  • Wallingford, CT
National Provider Identifier
1487017067
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PCY.0002331 Issued in CT
Legal business name
CONNECTICUT PHARMACY DIRECT LLC
Doing business as
Connecticut Pharmacy Direct
Practice address
10 Fairfield Blvd Unit C
Wallingford, CT 06492-5903
Phone
(203) 443-1213
Fax
(203) 443-1085
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Scott Wolak
Title
President and Ceo
Phone
(203) 518-1146

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NR1506 NH
Community/Retail Pharmacy 3336C0003X 035394 NY
Specialty Pharmacy 3336S0011X PHN11251 RI
Specialty Pharmacy 3336S0011X PCY.0002331 CT Primary

Addresses

Primary practice location

10 Fairfield Blvd Unit C
Wallingford, CT 06492-5903

Mailing address

10 Fairfield Blvd Unit C
Wallingford, CT 06492-5903
Phone (203) 443-1213

Other identifiers 2

IdentifierTypeStateIssuer
008066088MedicaidCT
2159143OtherPK

Other names 1

  • Connecticut Pharmacy Direct 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": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1487017067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD BLVD UNIT C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925903",
            "telephone_number": "203-443-1213",
            "fax_number": "203-443-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD BLVD UNIT C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925903",
            "telephone_number": "203-443-1213",
            "fax_number": "203-443-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT PHARMACY DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WOLAK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "203-518-1146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NH",
            "license": "NR1506",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035394",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "RI",
            "license": "PHN11251",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CT",
            "license": "PCY.0002331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008066088",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Pharmacy Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.