Suburban Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2051 Issued in CT

Legal business name

SUBURBAN PHARMA INC

Doing business as

SUBURBAN PHARMACY

Practice address

344 N Main St
West Hartford, CT 06117-2526

Phone

(860) 236-3564

Fax

(860) 236-7053

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Satish Annamaneni

Title

Pharmacy Director/Ao

Phone

(860) 236-3564

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUBURBAN PHARMACY Doing business as

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1639275183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172526",
            "telephone_number": "860-236-3564",
            "fax_number": "860-236-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172526",
            "telephone_number": "860-236-3564",
            "fax_number": "860-236-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ANNAMANENI",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR/AO",
        "authorized_official_telephone_number": "860-236-3564"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125413",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004027215",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUBURBAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Natalie Suarez, NP-C
• Hector J Suazo, DMD
• Suburban Home Medical Inc
• Suburban Home Medical, Inc
• Suburban Pharma Inc
• Suburban Pharmacy LTC Inc
• Leonard C Suchotliff, PHD
• Amanda Kate Sullivan
• Emily Sullivan
• Emily Ricker Sullivan, M ED., BCBA

• Community/Retail Pharmacy in West Hartford, CT
• Providers in West Hartford, 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 Jul 19, 2018; 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.