Active NPI
Chapel Street Pharmacy, LLC
Doing business as Chapel Street Pharmacy
- Community/Retail Pharmacy
- New Haven, CT
National Provider Identifier
1851633986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PCY2262
- Legal business name
- CHAPEL STREET PHARMACY, LLC
- Doing business as
- Chapel Street Pharmacy
- Practice address
- 1245 Chapel St
New Haven, CT 06511-4611 - Phone
- (203) 777-2227
- Fax
- (203) 777-2228
- NPI assigned
- Mar 27, 2013
- Last updated
- Mar 7, 2023
- 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
- Mr. Muralikrishna Challagundla
- Title
- RPH
- Phone
- (203) 777-2227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PCY2262 | CT | |
| Community/Retail Pharmacy | 3336C0003X | PCY2262 | CT | Primary |
| Compounding Pharmacy | 3336C0004X | PCY2262 | CT |
Addresses
Primary practice location
1245 Chapel St
New Haven, CT 06511-4611
Mailing address
1245 Chapel St
New Haven, CT 06511-4611
Phone (203) 777-2227
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCY.0002262 | Other | CT | BOARD OF PHARMACY |
| 008044234 | Medicaid | CT | |
| 0723103 | Other | NCPDP |
Other names 1
- CHAPEL STREET PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140328000774 | CT | DME Supplier - Pharmacy | 7012148422 | Practice locations: New Haven, CT |
| O20201203001698 | CT | Part B Supplier - Pharmacy | 7012148422 | Practice locations: New Haven, CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- New Haven, CT
- NPI 1215173265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1851633986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114611",
"telephone_number": "203-777-2227",
"fax_number": "203-777-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114611",
"telephone_number": "203-777-2227",
"fax_number": "203-777-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAPEL STREET PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2023-03-07",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "CHALLAGUNDLA",
"authorized_official_first_name": "MURALIKRISHNA",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "203-777-2227",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "PCY2262",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "PCY2262",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CT",
"license": "PCY2262",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PCY.0002262",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008044234",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0723103",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHAPEL STREET PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.