Washington Health Center & Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0002216 Issued in CT

Legal business name

WASHINGTON HEALTH CENTER & PHARMACY LLC

Doing business as

Washington Health Center & Pharmacy

Practice address

5 Bryan Hall Plaza
Washington Depot, CT 06794

Phone

(860) 619-0251

Fax

(860) 619-0700

NPI assigned

Aug 9, 2011

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Lukomski, RPH

Title

Pharmacist in Charge

Phone

(860) 619-0251

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Health Center & Pharmacy Doing business as

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1780963603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WASHINGTON DEPOT",
            "state": "CT",
            "postal_code": "067940337",
            "telephone_number": "860-619-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRYAN HALL PLAZA",
            "city": "WASHINGTON DEPOT",
            "state": "CT",
            "postal_code": "06794",
            "telephone_number": "860-619-0251",
            "fax_number": "860-619-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HEALTH CENTER & PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "LUKOMSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "860-619-0251",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0002216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Health Center & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Washington Depot, CT
• Providers in Washington Depot, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.