Organization Active NPI

Hartcare LLC

Doing business as Health Care Pharmacy

  • Community/Retail Pharmacy
  • Hartford, CT
National Provider Identifier
1861046658
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HARTCARE LLC
Doing business as
Health Care Pharmacy
HealthCare Pharmacy
Practice address
753 Maple Ave
Hartford, CT 06114-2315
Phone
(860) 263-8585
Fax
(860) 904-5010
NPI assigned
Jul 30, 2019
Last updated
Oct 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Authorized official

Name
Mr. Vijaya K Kollu
Title
Managing Member
Phone
(608) 263-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

753 Maple Ave
Hartford, CT 06114-2315

Mailing address

753 Maple Ave
Hartford, CT 06114-2315
Phone (860) 263-8585

Other names 2

  • Health Care Pharmacy Doing business as
  • HealthCare Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423002115 CT DME Supplier - Pharmacy 9830529387 Practice locations: Hartford, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hartcare LLC753 Maple Ave, Hartford, CT 06114-2315(860) 263-8585 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 30, 2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1861046658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142315",
            "telephone_number": "860-263-8585",
            "fax_number": "860-904-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142315",
            "telephone_number": "860-263-8585",
            "fax_number": "860-904-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "KOLLU",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "608-263-8585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.