NPIMap

Organization Active NPI

McQuades Home Infusion

Doing business as McQuades Specialty Pharmacy, LLC

  • Community/Retail Pharmacy
  • Mystic, CT
National Provider Identifier
1861656290
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY0002117 Issued in CT
Legal business name
MCQUADES HOME INFUSION
Doing business as
McQuades Specialty Pharmacy, LLC
Practice address
10 Clara Dr
Mystic, CT 06355-1957
Phone
(860) 536-3349
Fax
(860) 536-3451
NPI assigned
Jul 15, 2008
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Courtney McQuadeNPI 1225499916
Title
President
Phone
(860) 536-3349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY0002117 CT Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

10 Clara Dr
Mystic, CT 06355-1957

Mailing address

10 Clara Dr
Mystic, CT 06355-1957
Phone (860) 536-3349

Other identifiers 1

IdentifierTypeStateIssuer
0721173OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • McQuades Specialty Pharmacy, LLC Doing business as

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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1861656290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLARA DR",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551957",
            "telephone_number": "860-536-3349",
            "fax_number": "860-536-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLARA DR",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551957",
            "telephone_number": "860-536-3349",
            "fax_number": "860-536-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCQUADES HOME INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "MCQUADE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-536-3349"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0002117",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0721173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McQuades Specialty Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.