Manchester Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PCY.0001290 Issued in CT

Legal business name

MANCHESTER PHARMACY LLC

Practice address

348 Main St
Manchester, CT 06040-4123

Phone

(860) 649-1025

Fax

(860) 649-0457

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Vijay Vasireddy

Title

President

Phone

(914) 318-0787

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MANCHESTER PHARMACY Doing business as

Tax ID family

Manchester Pharmacy2 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.

• Manchester Pharmacy, LLC

  • Community/Retail Pharmacy
  • Manchester, CT
  • NPI 1982856944
  NPD tax ID

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1861778581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404123",
            "telephone_number": "860-649-1025",
            "fax_number": "860-649-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404123",
            "telephone_number": "860-649-1025",
            "fax_number": "860-649-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-318-0787"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "PCY.0001290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002078",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0722593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANCHESTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manchester Memorial Hospital, Inc.
• Manchester Memorial Hospital, Inc.
• Manchester Ophthalmology, LLC
• Manchester Oral and Implant Surgery PLLC
• Manchester Orthopedic Surgery & Sport Medicine
• Manchester Pharmacy, LLC
• Manchester Pharmacy,LLC
• Manchester Podiatry Center,PC
• Manchester Public Schools
• Manchester RX LLC

• Long Term Care Pharmacy in Manchester, CT
• Providers in Manchester, CT by specialty
• Long Term Care Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.