Organization Active NPI

Canaan Apothecary LLC

Doing business as Canaan Apothecary

  • Community/Retail Pharmacy
  • Canaan, CT
National Provider Identifier
1871670745
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY1978 Issued in CT
Legal business name
CANAAN APOTHECARY LLC
Doing business as
Canaan Apothecary
Practice address
11 E Main St
Canaan, CT 06018-2509
Phone
(860) 824-8000
Fax
(860) 824-7864
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Elaine Laroche
Title
Owner
Phone
(860) 435-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY1978 CT Primary

Addresses

Primary practice location

11 E Main St
Canaan, CT 06018-2509

Mailing address

PO Box 566
Salisbury, CT 06068-0566
Phone (860) 435-4006

Other identifiers 2

IdentifierTypeStateIssuer
0720676OtherNCPDP PROVIDER IDENTIFICATION NUMBER
004264587MedicaidCT

Other names 1

  • CANAAN APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Locations

11 E Main St
Canaan, CT 06018
Phone (860) 824-8000

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1871670745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "SALISBURY",
            "state": "CT",
            "postal_code": "060680566",
            "telephone_number": "860-435-4006",
            "fax_number": "860-435-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MAIN ST",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182509",
            "telephone_number": "860-824-8000",
            "fax_number": "860-824-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAAN APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "LAROCHE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-435-4006"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY1978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0720676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004264587",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANAAN APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.