Bridgeport Chemists Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY000591 Issued in CT

Legal business name

BRIDGEPORT CHEMISTS INC

Doing business as

Hancock Pharmacy

Practice address

1407 Fairfield Ave
Bridgeport, CT 06605-1928

Phone

(203) 367-4571

Fax

(203) 368-4872

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Rajendra Appalaneni, RPH

Title

President

Phone

(203) 367-4571

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HANCOCK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CT4 enrollments

Enrollment records 4

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yaritza Rivera Rodriguez

  • Pharmacist
  • San Juan, PR
  • NPI 1235857079
  NPD
• Sai Akkineni

  • Pharmacist
  • Stamford, CT
  • NPI 1215898127
  NPD (past)
• Veeraiahchowdary Bandarupalli

  • Pharmacist
  • Bridgeport, CT
  • NPI 1720420151
  NPD (past)
• Abhinav Chalasani

  • Pharmacist
  • Ansonia, CT
  • NPI 1841163029
  NPD (past)
• Justin Ma

  • Pharmacist
  • Bridgeport, CT
  • NPI 1972121010
  NPD (past)
• Prithvi Thadikonda, PHARMD

  • Pharmacist
  • Bridgeport, CT
  • NPI 1659188753
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1619074010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051928",
            "telephone_number": "203-367-4571",
            "fax_number": "203-368-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051928",
            "telephone_number": "203-367-4571",
            "fax_number": "203-368-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-367-4571",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY000591",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004216786",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANCOCK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridge Pharmacy LLC
• Bridgeport Anesthesia Associates, P.C.
• Bridgeport Anesthesia Associates,P.C
• Bridgeport Board of Education
• Bridgeport Braces, LLC
• Bridgeport Chemists, Inc. (Hancock Pharmacy)
• Bridgeport Community Pharmacy LLC
• Bridgeport Dental Care, LLC (Bridgeport Dental Care)
• Bridgeport Dental Group Inc
• Bridgeport Dental, LLC

• Community/Retail Pharmacy in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.