SSV Pharmacy 1

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SSV PHARMACY 1

Practice address

500 Farmington Ave
Hartford, CT 06105-3106

Phone

(860) 982-7303

NPI assigned

Dec 4, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Sandhya Kantamaneni

Title

Owner

Phone

(860) 522-9289

Specialties & licenses 1

Addresses

Other names 1

• Arrow Prescription Center #12 Inc Other name

Tax ID family

Arrow Prescription Center 122 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Arrow Prescription Center #12

  • Pharmacy
  • Hartford, CT
  • NPI 1164624235
  NPD tax ID

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1609346576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FARMINGTON AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053106",
            "telephone_number": "860-570-0543",
            "fax_number": "860-570-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FARMINGTON AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053106",
            "telephone_number": "860-982-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSV PHARMACY 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "KANTAMANENI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-522-9289",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrow Prescription Center #12 Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Arrow Prescription Center #12 Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katharine Sprouse
• Ella Squibb
• Raymond C Squier, MD
• Vivek Reddy Sreepathi, DO
• Olivia M Sroka, LPC
• SSV Pharmacy 1 LLC
• Brenda A St George, L C S W
• St of CT Dept. of Public Health Laboratory
• Putita St Onge
• Samantha Rose St-Aubin, LMSW

• Long Term Care Pharmacy in Hartford, CT
• Providers in Hartford, 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 Feb 24, 2020; 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.