Innova Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PCY.2179 Issued in CT

Legal business name

INNOVA PHARMACY, INC.

Practice address

40 Weston St
Suite G
Hartford, CT 06120-1538

Phone

(877) 825-7880

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By 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

Lawrence Kososki

Title

President

Phone

(877) 825-7880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1881914471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WESTON ST",
            "address_2": "SUITE G",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201538",
            "telephone_number": "877-825-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WESTON ST",
            "address_2": "SUITE G",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201538",
            "telephone_number": "877-825-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "KOSOSKI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-825-7880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "PCY.2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Hartford, CT
• Providers in Hartford, CT by specialty
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.