Active NPI
Urx5 LLC
- Durable Medical Equipment & Medical Supplies
- Waterbury, CT
National Provider Identifier
1629195789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- URX5 LLC
- Doing business as
- STOLL'S PHARMACY
- Practice address
- 185 Grove St
Waterbury, CT 06710-2289 - Phone
- (203) 575-0199
- Fax
- (203) 575-0515
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Buturla
- Title
- President
- Phone
- (203) 824-3570
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | PCY.0001330 | CT | |
| Long Term Care Pharmacy | 3336L0003X | PCY.0001330 | CT | |
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
185 Grove St
Waterbury, CT 06710-2289
Mailing address
185 Grove St
Waterbury, CT 06710-2289
Phone (203) 575-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004083234 | Medicaid | CT |
Other names 1
- STOLL'S PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1629195789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GROVE ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102289",
"telephone_number": "203-575-0199",
"fax_number": "203-575-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 GROVE ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102289",
"telephone_number": "203-575-0199",
"fax_number": "203-575-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URX5 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "BUTURLA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-824-3570",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "PCY.0001330",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CT",
"license": "PCY.0001330",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004083234",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STOLL'S PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.