NPIMap

Organization Active NPI

Dixwell Pharmacy LLC

  • Long Term Care Pharmacy
  • Hamden, CT
National Provider Identifier
1710074901
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PCY.0001981 Issued in CT
Legal business name
DIXWELL PHARMACY LLC
Practice address
2380A Dixwell Ave
Hamden, CT 06514
Phone
(203) 281-2718
Fax
(203) 281-2859
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Naveen Parupalli
Title
Member
Phone
(203) 281-2718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PCY.0001981 CT Primary

Addresses

Primary practice location

2380A Dixwell Ave
Hamden, CT 06514

Mailing address

2380 Dixwell Ave
Ste a
Hamden, CT 06514-1847
Phone (203) 281-6571

Other identifiers 1

IdentifierTypeStateIssuer
2149108OtherPK

Other names 1

  • Annex Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dixwell 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.

Locations

2380 Dixwell Ave
#A
Hamden, CT 06514
Phone (203) 281-2718

2380 Dixwell Ave
Ste A
Hamden, CT 06514

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1710074901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 DIXWELL AVE",
            "address_2": "STE A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141847",
            "telephone_number": "203-281-6571",
            "fax_number": "203-281-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380A DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-281-2718",
            "fax_number": "203-281-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXWELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "PARUPALLI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-281-2718"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "PCY.0001981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.