Organization Active NPI

Vital Care of Connecticut Inc.

  • Community/Retail Pharmacy
  • Norwalk, CT
National Provider Identifier
1487738746
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY2019 Issued in CT
Legal business name
VITAL CARE OF CONNECTICUT INC.
Practice address
189 Main St
Norwalk, CT 06851-4713
Phone
(203) 845-0616
Fax
(203) 845-0736
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Ms. Leyla Sokmen
Title
Director
Phone
(203) 845-0616

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835X0200X 2019 CT
Durable Medical Equipment & Medical Supplies 332B00000X 2019 CT
Community/Retail Pharmacy 3336C0003X PCY2019 CT Primary

Addresses

Primary practice location

189 Main St
Norwalk, CT 06851-4713

Mailing address

189 Main St
Norwalk, CT 06851-4713
Phone (203) 845-0616

Other identifiers 2

IdentifierTypeStateIssuer
004258738MedicaidCT
004258720MedicaidCT

National Provider Directory

National Provider Directory

Locations

75 Main St
Norwalk, CT 06851
Phone (203) 845-0616

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1487738746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514713",
            "telephone_number": "203-845-0616",
            "fax_number": "203-845-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514713",
            "telephone_number": "203-845-0616",
            "fax_number": "203-845-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE OF CONNECTICUT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "SOKMEN",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-845-0616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Oncology",
            "state": "CT",
            "license": "2019",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "2019",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY2019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004258738",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004258720",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.