NPIMap

Organization Active NPI

Graeber'S Pharmacy Inc

  • Community/Retail Pharmacy
  • Meriden, CT
National Provider Identifier
1871953471
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY0000416 Issued in CT
Legal business name
GRAEBER'S PHARMACY INC
Practice address
172 West Main St
Meriden, CT 06451-4104
Phone
(203) 235-6305
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mr. Roger C Dezinno
Title
VP and Sec
Phone
(203) 235-6305

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PCY0000416 CT
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PCY0000416 CT
Pharmacy 333600000X PCY0000416 CT
Community/Retail Pharmacy 3336C0003X PCY0000416 CT Primary
Prosthetic/Orthotic Supplier 335E00000X PCY0000416 CT

Addresses

Primary practice location

172 West Main St
Meriden, CT 06451-4104

Mailing address

172 W Main St
Meriden, CT 06451-4104
Phone (203) 235-6305

National Provider Directory

National Provider Directory
Tax ID family
Graeber'S Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

172 W Main St
Meriden, CT 06451
Phone (203) 235-6305

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1871953471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064514104",
            "telephone_number": "203-235-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 WEST MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064514104",
            "telephone_number": "203-235-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAEBER'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DEZINNO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP AND SEC",
        "authorized_official_telephone_number": "203-235-6305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "PCY0000416",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CT",
            "license": "PCY0000416",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "PCY0000416",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0000416",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "PCY0000416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.