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Hartford Healthcare Retail Pharmacy

Organization Active NPI Community/Retail Pharmacy · Hartford, CT

NPI 1669927703 · NPPES record last updated Aug 18, 2016

Key facts

NPI
1669927703
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
1282 (CT)
Legal business name
HARTFORD HEALTHCARE RETAIL PHARMACY
Practice address
85 Seymour St
Suite 117
Hartford, CT 06106-5501
Phone
(860) 727-1123
Fax
(860) 520-4307
NPI assigned
Aug 18, 2016
Organization subpart
Yes
Parent organization (as reported)
HARTFORD HOSPITAL

Authorized official

Name
Mr. Daniel Gleason NPI 1639539554
Title
Pharmacy Manager
Phone
(860) 727-1123

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

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Jennifer L Dauphinais (12 organizations share this tax ID)
Part of
Jennifer L Dauphinais

Locations

85 Seymour St
Ste 117
Hartford, CT 06106
Phone (860) 727-1123

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1282 CT Yes

Addresses

Primary practice location

85 Seymour St
Suite 117
Hartford, CT 06106-5501

Mailing address

85 Seymour St
Suite 117
Hartford, CT 06106-5501
Phone (860) 727-1123

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2016.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1669927703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 117",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-727-1123",
            "fax_number": "860-520-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 117",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-727-1123",
            "fax_number": "860-520-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HEALTHCARE RETAIL PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARTFORD HOSPITAL",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "860-727-1123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

All providers in Hartford, CT · Community/Retail Pharmacy in Connecticut

Sources for this page

Verify at the official NPI Registry.