Active NPI
McQuades Marketplace Pharmacy
Doing business as McQuades Pharmacy Inc
- Community/Retail Pharmacy
- Mystic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1547
- Legal business name
- MCQUADES MARKETPLACE PHARMACY
- Doing business as
- McQuades Marketplace Pharmacy
McQuades Pharmacy Inc - Practice address
- 10 Clara Dr
Mystic, CT 06355-1957 - Phone
- (860) 536-4606
- Fax
- (860) 536-9629
- NPI assigned
- Sep 11, 2006
- Last updated
- Aug 6, 2026
- 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
- Courtney McQuade
- Title
- Owner/RPH
- Phone
- (860) 536-4606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1547 | CT | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
10 Clara Dr
Mystic, CT 06355-1957
Mailing address
10 Clara Dr
Mystic, CT 06355-1957
Phone (860) 536-4606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004140836 | Medicaid | CT | |
| 2001485 | Other | PK |
Other names 2
- MCQUADES MARKETPLACE PHARMACY
- MCQUADES PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180515002160 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385764315 | Practice locations: Mystic, CT |
National Provider Directory
National Provider DirectoryLocations
10 Clara Dr
Mystic, CT 06355
Phone (860) 536-4606
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Mystic, CT
- NPI 1225499916
-
- Pharmacist
- Jewett City, CT
- NPI 1598926016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1770687964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CLARA DR",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551957",
"telephone_number": "860-536-4606",
"fax_number": "860-536-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CLARA DR",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551957",
"telephone_number": "860-536-4606",
"fax_number": "860-536-9629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCQUADES MARKETPLACE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "MCQUADE",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "OWNER/RPH",
"authorized_official_telephone_number": "860-536-4606"
},
"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": "1547",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004140836",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2001485",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCQUADES MARKETPLACE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MCQUADES PHARMACY INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MCQUADES PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.