NPIMap

Organization Active NPI

St Vincents Medical Center

  • Community/Retail Pharmacy
  • Bridgeport, CT
National Provider Identifier
1598039141
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0002237 Issued in CT
Legal business name
ST VINCENTS MEDICAL CENTER
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-5713
Fax
(203) 581-6599
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Christopher Given
Title
VP Finance
Phone
(475) 210-6193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0002237 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5713

Other identifiers 1

IdentifierTypeStateIssuer
0722896OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • St Vincent's Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Vincent'S Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1598039141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5713",
            "fax_number": "203-581-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5713",
            "fax_number": "203-581-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "475-210-6193"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "0002237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0722896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent's Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Vincent's Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.