Brass Mill Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0002329 Issued in CT

Legal business name

BRASS MILL PHARMACY, LLC

Doing business as

Park Pharmacy

Practice address

1527 E Main St
Waterbury, CT 06705-1025

Phone

(203) 721-8022

Fax

(203) 721-6005

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jalpa R Patel, PHARMD

Title

Owner

Phone

(203) 721-8022

Specialties & licenses 1

Addresses

Other names 1

• Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guo Sheng Teo, PHARM.D

  • Pharmacist
  • Waterbury, CT
  • NPI 1750969333
  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1790141034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051025",
            "telephone_number": "203-721-8022",
            "fax_number": "203-721-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051025",
            "telephone_number": "203-721-8022",
            "fax_number": "203-721-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASS MILL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JALPA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-721-8022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brass City Chiropractic Center, LLC
• Brass City Counseling.
• Brass City Dentistry
• Brass City Pharmacy Inc
• Brass Mill Mall Dental L.L.P
• Miguel Angel Bravo Jr., MD
• Ashley Brea
• Erin L Bredefeld, LPC
• Kate Marie Breiner, PA-C
• Daniel G. Brennan, DMD

• Community/Retail Pharmacy in Waterbury, CT
• Providers in Waterbury, 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 Oct 4, 2021; 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.

Verify at the official NPI Registry.