Reliant Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0002189 Issued in CT

Legal business name

RELIANT PHARMACY LLC

Practice address

200 Main St S
Southbury, CT 06488-4250

Phone

(203) 262-8000

Fax

(203) 262-6477

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Satyanarayana Valiveti

Title

Manager

Phone

(203) 262-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RELIANT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1669788998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884250",
            "telephone_number": "203-262-8000",
            "fax_number": "203-262-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884250",
            "telephone_number": "203-262-8000",
            "fax_number": "203-262-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "VALIVETI",
        "authorized_official_first_name": "SATYANARAYANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-262-8000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0722086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIANT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Southbury, CT
• Providers in Southbury, 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 Oct 15, 2010; 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.