NPIMap

Organization Active NPI

Goes Health LLC

Doing business as Middlebury Pharmacy

  • Community/Retail Pharmacy
  • Middlebury, CT
National Provider Identifier
1861591505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1822 Issued in CT
Legal business name
GOES HEALTH LLC
Doing business as
Middlebury Pharmacy
Practice address
572 Middlebury Rd
Middlebury, CT 06762-2553
Phone
(203) 758-1220
Fax
(203) 598-0178
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Ouellette, RPH
Title
Manager
Phone
(203) 758-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1822 CT Primary

Addresses

Primary practice location

572 Middlebury Rd
Middlebury, CT 06762-2553

Mailing address

572 Middlebury Rd
Middlebury, CT 06762-2553
Phone (203) 758-1220

Other names 1

  • Middlebury Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goes Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861591505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 MIDDLEBURY RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622553",
            "telephone_number": "203-758-1220",
            "fax_number": "203-598-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 MIDDLEBURY RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622553",
            "telephone_number": "203-758-1220",
            "fax_number": "203-598-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOES HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-758-1220",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlebury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.