Thomaston Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THOMASTON PHARMACY PLLC

Practice address

130 S Main St Ste 1B
Thomaston, CT 06787-1741

Phone

(860) 484-4245

Fax

(860) 288-4437

NPI assigned

Feb 7, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicolas Roder-Hanna, PHARMDNPI 1346520012

Title

Owner

Phone

(860) 614-6563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Nicolas Roder-Hanna, PHARMD

  • Pharmacist
  • Thomaston, CT
  • NPI 1346520012
  NPD Authorized official

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1871185264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 1B",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-484-4245",
            "fax_number": "860-288-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 1B",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-484-4245",
            "fax_number": "860-288-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASTON PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "RODER-HANNA",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-614-6563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomaston Board of Education
• Thomaston Counseling Associates
• Thomaston Counseling Center
• Thomaston Dental Associates PLLC
• Thomaston Family Dental, LLC
• Thomaston Physical Therapy, LLC
• Thomaston Senior Center
• Thomaston Volunteer Ambulance Corps Inc
• Renea Michelle Tirrell, LADC
• Samantha C Turner, LPC

• Community/Retail Pharmacy in Thomaston, CT
• Providers in Thomaston, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.

Verify at the official NPI Registry.