NPIMap

Organization Active NPI

University of Connecticut

  • Clinic Pharmacy
  • Storrs Mansfield, CT
National Provider Identifier
1487788196
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
51 Issued in CT
Legal business name
UNIVERSITY OF CONNECTICUT
Practice address
234 Glenbrook Rd
Unit 4011
Storrs Mansfield, CT 06269-9099
Phone
(860) 486-0736
Fax
(860) 486-0792
NPI assigned
Mar 15, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ashlee Stone, PHARMD
Title
Pharmacy Manager
Phone
(860) 486-0736

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
University of Connecticut (8 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 51 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

234 Glenbrook Rd
Unit 4011
Storrs Mansfield, CT 06269-9099

Mailing address

234 Glenbrook Rd
Unit 4011
Storrs Mansfield, CT 06269-9099
Phone (860) 486-0736

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2000270OtherPK
008064757MedicaidCT

Other names 1

NPPES NPI Registry
  • UNIVERSITY OF CONNECTICUT Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2016.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1487788196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GLENBROOK RD",
            "address_2": "UNIT 4011",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062699099",
            "telephone_number": "860-486-0736",
            "fax_number": "860-486-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GLENBROOK RD",
            "address_2": "UNIT 4011",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062699099",
            "telephone_number": "860-486-0736",
            "fax_number": "860-486-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "860-486-0736",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CT",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008064757",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF CONNECTICUT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Storrs Mansfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.