Drug Shoppe Health Solutions of Connecticut, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2068 Issued in CT

Legal business name

DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC

Practice address

155 Hazard Ave Unit 16
Enfield, CT 06082-4580

Phone

(860) 749-3824

NPI assigned

Aug 12, 2006

Last updated

May 3, 2012By 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. Charles F Etuk

Title

President

Phone

(860) 749-3824

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aniedi Nse Etuk, RPH

  • Pharmacist
  • New York, NY
  • NPI 1841522521
  NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1598777153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE UNIT 16",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824580",
            "telephone_number": "860-749-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE UNIT 16",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824580",
            "telephone_number": "860-749-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "ETUK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-749-3824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "2068",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "2068",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004262820",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004262838",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Tai Nguyen, LLC
• Jessica R Drabkin, RN
• Juanita Y Drapeau Drew
• Peter John Drennan, D.O.
• Shaliar Drew
• Vaughn Drumm
• Dawn Marie Ducharme, LCSW
• Lynn Dudek
• Robert P Dudek, M.D.
• Rachael L Dufrane

• Long Term Care Pharmacy in Enfield, CT
• Providers in Enfield, CT by specialty
• Long Term Care Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.