Organization Active NPI

Hancock Pharmacy VII LLC

  • Community/Retail Pharmacy
  • New Haven, CT
National Provider Identifier
1629396403
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0002174 Issued in CT
Legal business name
HANCOCK PHARMACY VII LLC
Doing business as
HANCOCK PHARMACY VII
Practice address
306 Grand Ave
New Haven, CT 06513-3730
Phone
(203) 776-7100
Fax
(203) 776-7102
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Lalitha PasupuletiNPI 1457793903
Title
Member / Pharmacist in Charge (Pic)
Phone
(203) 776-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY.0002174 CT Primary

Addresses

Primary practice location

306 Grand Ave
New Haven, CT 06513-3730

Mailing address

306 Grand Ave
New Haven, CT 06513-3730
Phone (203) 776-7100

Other identifiers 4

IdentifierTypeStateIssuer
0721995OtherNCPDP
008017235MedicaidCT
2124970OtherPK
PCY.0002174OtherCTBOARD OF PHARMACY

Other names 1

  • HANCOCK PHARMACY VII Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110207000422 CT DME Supplier - Pharmacy 3375723455 Practice locations: New Haven, CT
O20201104001501 CT Part B Supplier - Pharmacy 3375723455 Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629396403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133730",
            "telephone_number": "203-776-7100",
            "fax_number": "203-776-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133730",
            "telephone_number": "203-776-7100",
            "fax_number": "203-776-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK PHARMACY VII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "PASUPULETI",
        "authorized_official_first_name": "LALITHA",
        "authorized_official_title_or_position": "MEMBER / PHARMACIST IN CHARGE (PIC)",
        "authorized_official_telephone_number": "203-776-7100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0721995",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008017235",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PCY.0002174",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANCOCK PHARMACY VII",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HANCOCK PHARMACY VII",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.