Organization Active NPI

Oxford Pharmacy CT Inc

Doing business as Madison Pharmacy

  • Community/Retail Pharmacy
  • Trumbull, CT
National Provider Identifier
1871163774
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OXFORD PHARMACY CT INC
Doing business as
Madison Pharmacy
Practice address
4180 Madison Ave
Trumbull, CT 06611-3508
Phone
(203) 502-8231
Fax
(203) 502-8237
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Sherif ElrefaeiNPI 1285086587
Title
Pharmacist
Phone
(347) 988-7726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4180 Madison Ave
Trumbull, CT 06611-3508

Mailing address

4180 Madison Ave
Trumbull, CT 06611-3508
Phone (203) 502-8231

Other names 1

  • Madison Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809000884 CT Part B Supplier - Pharmacy 9830593177 Practice locations: Trumbull, CT

National Provider Directory

National Provider Directory

Locations

4180 Madison Ave
Trumbull, CT 06611
Phone (203) 502-8231

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1871163774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113508",
            "telephone_number": "203-502-8231",
            "fax_number": "203-502-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113508",
            "telephone_number": "203-502-8231",
            "fax_number": "203-502-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD PHARMACY CT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "ELREFAEI",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "347-988-7726"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.