Organization Active NPI

Higganum Drug Center

  • Pharmacy
  • Higganum, CT
National Provider Identifier
1689767246
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0372 Issued in CT
Legal business name
HIGGANUM DRUG CENTER
Practice address
6 Killingworth Rd
Higganum, CT 06441
Phone
(860) 345-4536
Fax
(860) 345-7665
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
John Termine
Title
VP
Phone
(860) 345-4536

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0372 CT Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

6 Killingworth Rd
Higganum, CT 06441

Mailing address

PO Box 577
Higganum, CT 06441-0577

Other identifiers 1

IdentifierTypeStateIssuer
0713544OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1689767246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064410577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KILLINGWORTH RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "06441",
            "telephone_number": "860-345-4536",
            "fax_number": "860-345-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGANUM DRUG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "TERMINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "860-345-4536"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "0372",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0713544",
            "state": null
        }
    ],
    "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 Sep 13, 2007; 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.