NPIMap

Organization Active NPI

Medical Center Pharmacy LLC

  • Community/Retail Pharmacy
  • Enfield, CT
National Provider Identifier
1811008071
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1177 Issued in CT
Legal business name
MEDICAL CENTER PHARMACY LLC
Practice address
15 Palomba Dr
Suite 8
Enfield, CT 06082-3888
Phone
(860) 745-0183
Fax
(860) 741-6503
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Darlene Able, RPH
Title
Owner
Phone
(860) 745-0183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 1177 CT Primary

Addresses

Primary practice location

15 Palomba Dr
Suite 8
Enfield, CT 06082-3888

Mailing address

15 Palomba Dr
Suite 8
Enfield, CT 06082-3888
Phone (860) 745-0183

Other identifiers 3

IdentifierTypeStateIssuer
004083292MedicaidCT
0712655OtherCTNCPDP
004082971MedicaidCT

Other names 1

  • Able Care Pharmacy & Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

15 Palomba Dr
Ste B
Enfield, CT 06082

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1811008071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PALOMBA DR",
            "address_2": "SUITE 8",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823888",
            "telephone_number": "860-745-0183",
            "fax_number": "860-741-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PALOMBA DR",
            "address_2": "SUITE 8",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823888",
            "telephone_number": "860-745-0183",
            "fax_number": "860-741-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "ABLE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-745-0183",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004083292",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0712655",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004082971",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Able Care Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.