Active NPI
Slavins-Hancock Pharmacy, Inc
- Pharmacy
- Stamford, CT
National Provider Identifier
1881793776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PCY.0000767
- Legal business name
- SLAVINS-HANCOCK PHARMACY, INC
- Practice address
- 922 Washington Blvd
Stamford, CT 06901-2204 - Phone
- (203) 323-2161
- Fax
- (203) 964-1913
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakshmana Pudipeddi
- Title
- Vice President
- Phone
- (203) 323-2161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PCY.0000767 | CT | Primary |
Addresses
Primary practice location
922 Washington Blvd
Stamford, CT 06901-2204
Mailing address
922 Washington Blvd
Stamford, CT 06901-2204
Phone (203) 323-2161
Other practice location 1
1035 Washington Blvd
Stamford, CT 06901-2204
Phone (203) 323-2161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133461 | Other | PK | |
| 008036522 | Medicaid | CT |
Other names 1
- SLAVINS-HANCOCK PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131004000560 | CT | DME Supplier - Pharmacy | 7214161298 | Practice locations: Stamford, CT |
| O20190308000764 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214161298 | Practice locations: Stamford, CT |
| O20210122001607 | CT | Part B Supplier - Pharmacy | 7214161298 | Practice locations: Stamford, CT |
National Provider Directory
National Provider Directory- Tax ID family
- Slavins Professional Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Stamford, CT
- NPI 1700501525
Locations
1035 Washington Blvd
Stamford, CT 06901
Phone (203) 323-2161
922 Washington Blvd
Stamford, CT 06901
Phone (203) 305-6109
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Stamford, CT
- NPI 1215898127
-
- Pharmacotherapy Pharmacist
- Stamford, CT
- NPI 1841654225
-
- Pharmacist
- Stamford, CT
- NPI 1194167122
-
- Pharmacist
- Stamford, CT
- NPI 1588224885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1881793776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 WASHINGTON BLVD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069012204",
"telephone_number": "203-323-2161",
"fax_number": "203-964-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 WASHINGTON BLVD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069012204",
"telephone_number": "203-323-2161",
"fax_number": "203-964-1913"
}
],
"practiceLocations": [
{
"address_1": "1035 Washington Blvd",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069012204",
"country_code": "US",
"telephone_number": "203-323-2161",
"fax_number": "203-964-1913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SLAVINS-HANCOCK PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2022-07-21",
"certification_date": "2020-01-24",
"status": "A",
"authorized_official_last_name": "PUDIPEDDI",
"authorized_official_first_name": "LAKSHMANA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "203-323-2161"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CT",
"license": "PCY.0000767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2133461",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008036522",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SLAVINS-HANCOCK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.