NPIMap

Organization Active NPI

Jewett City Pharmacy

Doing business as Jewett City Pharmacy LTC

  • Long Term Care Pharmacy
  • Jewett City, CT
National Provider Identifier
1609612928
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JEWETT CITY PHARMACY
Doing business as
Jewett City Pharmacy LTC
Practice address
78 Main St
Jewett City, CT 06351-2226
Phone
(860) 376-4468
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JEWETT CITY PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Tony A Komari
Title
President
Phone
(603) 764-4688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

78 Main St
Jewett City, CT 06351-2226

Mailing address

78 Main St
Jewett City, CT 06351-2226
Phone (860) 376-4468

Other names 1

  • JEWETT CITY PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewett City Pharmacy2 organizations share this tax ID, including this one
Part of
Jewett City Pharmacy

Other organizations with this tax ID 1

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

Locations

78 Main St
Jewett City, CT 06351
Phone (860) 376-4468

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1609612928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512226",
            "telephone_number": "860-376-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512226",
            "telephone_number": "860-376-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWETT CITY PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWETT CITY PHARMACY",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "KOMARI",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-764-4688"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEWETT CITY PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jewett City, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.