NPIMap

Organization Active NPI

Higganum Pharmacy LLC

  • Long Term Care Pharmacy
  • Higganum, CT
National Provider Identifier
1679195481
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HIGGANUM PHARMACY LLC
Practice address
23 Killingworth Rd
Higganum, CT 06441-4242
Phone
(860) 345-3607
Fax
(860) 345-3612
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Gregory Edward McKenna
Title
Managing Member
Phone
(860) 345-3607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

23 Killingworth Rd
Higganum, CT 06441-4242

Mailing address

PO Box 540
Higganum, CT 06441-0540
Phone (860) 345-3607

National Provider Directory

National Provider Directory
Tax ID family
Higganum Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1679195481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064410540",
            "telephone_number": "860-345-3607",
            "fax_number": "860-345-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KILLINGWORTH RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414242",
            "telephone_number": "860-345-3607",
            "fax_number": "860-345-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGANUM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-345-3607"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Higganum, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.