Enfield Compounding Center LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

ENFIELD COMPOUNDING CENTER LLC

Doing business as

Enfield Compounding Center Pharmacy

Practice address

139 Hazard Ave Unit 15
Enfield, CT 06082-4585

Phone

(860) 568-7019

NPI assigned

Aug 8, 2017

Last updated

Aug 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank Edward Page, PHARMACIST

Title

Manager

Phone

(860) 568-7019

Specialties & licenses 1

Addresses

Other names 1

• Enfield Compounding Center Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1568987774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060831127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HAZARD AVE UNIT 15",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824585",
            "telephone_number": "860-568-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENFIELD COMPOUNDING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-568-7019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enfield Compounding Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.