Organization Active NPI

Chapel Street Pharmacy, LLC

Doing business as Chapel Street Pharmacy

  • Community/Retail Pharmacy
  • New Haven, CT
National Provider Identifier
1851633986
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY2262 Issued in CT
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Muralikrishna ChallagundlaNPI 1215173265
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PCY.0002262OtherCTBOARD OF PHARMACY
008044234MedicaidCT
0723103OtherNCPDP

Other names 1

  • CHAPEL STREET PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.