Nutmeg Pharmacy New London LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NUTMEG PHARMACY NEW LONDON LLC

Practice address

345 Broad St
New London, CT 06320-3726

Phone

(860) 910-4909

Fax

(860) 910-4910

NPI assigned

Mar 15, 2021

Last updated

Jul 24, 2021By 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

Beth-Ann Larosa

Title

Office Manager

Phone

(860) 345-3607

Specialties & licenses 1

Addresses

Tax ID family

Nutmeg Pharmacy New London2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nutmeg Pharmacy New London LLC

  dba Nutmeg/LTC Pharmacy

  • Community/Retail Pharmacy
  • New London, CT
  • NPI 1982203147
  NPD tax ID

Locations

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1891370466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064410540",
            "telephone_number": "860-345-3607",
            "fax_number": "860-345-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BROAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203726",
            "telephone_number": "860-910-4909",
            "fax_number": "860-910-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG PHARMACY NEW LONDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "LAROSA",
        "authorized_official_first_name": "BETH-ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-345-3607"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Noto, MD
• Alison Elaine Nowak, PT, DPT, GCS
• Paul Michael Nowak, DO
• Anna Marie Noyes
• Matthew A. Nucci, CRNA
• Nutmeg Pharmacy New London LLC (Nutmeg/LTC Pharmacy)
• Traci O'Brien, DPT
• Laura M O'Connell, NURSE PRACTITIONER
• Kathryn O'Connor, PA-C
• Sophia Gee O'Donnell, MD

• Long Term Care Pharmacy in New London, CT
• Providers in New London, CT by specialty
• Long Term Care Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.