Hancock Pharmacy III, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0002256 Issued in CT

Legal business name

HANCOCK PHARMACY III, LLC

Practice address

3768 Main St
Bridgeport, CT 06606-3610

Phone

(917) 568-9000

NPI assigned

Dec 4, 2012

Reactivated

Nov 20, 2020

Last updated

Nov 20, 2020By 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

Mr. Rajendra P AppalaneniNPI 1417109745

Title

Member

Phone

(917) 568-9000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Rajendra P Appalaneni

  • Pharmacist
  • Saddle River, NJ
  • NPI 1417109745
  Authorized official Same address or phone

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1871838748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063610",
            "telephone_number": "917-568-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK PHARMACY III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "deactivation_date": "2020-11-06",
        "reactivation_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-568-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker G Hampson, LPC
• Sandra Marie Hamway, CRNA-DNP
• Hancock Pharmacy II LLC (Hancock Pharmacy II)
• Hancock Pharmacy II LLC (Hancock Pharmacy II)
• Hancock Pharmacy III, LLC
• Hand Therapy Associates, Inc
• Wanda Juarros Hanlon, M.D.
• George Michael Hanna III, MD
• Nicole M Hannibal
• Hannah Patricia Hanshaw

• Community/Retail Pharmacy in Bridgeport, CT
• Providers in Bridgeport, 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 Nov 20, 2020; 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.