Active NPI
Visels Drug Store Inc
- Community/Retail Pharmacy
- New Haven, CT
National Provider Identifier
1710070487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PCY0000089
- Legal business name
- VISELS DRUG STORE INC
- Practice address
- 714 Dixwell Ave
New Haven, CT 06511-1038 - Phone
- (203) 562-6878
- Fax
- (203) 624-3530
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamil Azhari, RPH
- Title
- Owner
- Phone
- (203) 713-8101
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PCY0000089 | CT | Primary |
Addresses
Primary practice location
714 Dixwell Ave
New Haven, CT 06511-1038
Mailing address
714 Dixwell Ave
New Haven, CT 06511-1038
Phone (203) 562-6878
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004026233 | Medicaid | CT | |
| 004015350 | Medicaid | CT | |
| 1998384 | Other | PK |
Other names 1
- VISELS PHARMACY
National Provider Directory
National Provider DirectoryLocations
714 Dixwell Ave
New Haven, CT 06511
Phone (203) 562-6878
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New Haven, CT
- NPI 1154790319
-
- Pharmacist
- New Haven, CT
- NPI 1538217633
-
- Pharmacy Technician
- New Haven, CT
- NPI 1770632309
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": "1767916800000",
"number": "1710070487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 DIXWELL AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111038",
"telephone_number": "203-562-6878",
"fax_number": "203-624-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 DIXWELL AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111038",
"telephone_number": "203-562-6878",
"fax_number": "203-624-3530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISELS DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "AZHARI",
"authorized_official_first_name": "JAMIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-713-8101",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "PCY0000089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004026233",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004015350",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1998384",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VISELS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.