Active NPI
Hartcare LLC
Doing business as Health Care Pharmacy
- Community/Retail Pharmacy
- Hartford, CT
National Provider Identifier
1861046658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2024
- 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. Vijaya K Kollu
- Title
- Managing Member
- Phone
- (608) 263-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- HealthCare Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200423002115 | CT | DME Supplier - Pharmacy | 9830529387 | Practice locations: Hartford, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hartcare LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI 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.