Organization Active NPI

Waterbury Pharmacy LLC

Doing business as Waterbury Pharmacy

  • Long Term Care Pharmacy
  • Waterbury, CT
National Provider Identifier
1891494688
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WATERBURY PHARMACY LLC
Doing business as
Waterbury Pharmacy
Practice address
187 E Main St
Waterbury, CT 06702-2300
Phone
(203) 757-2000
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Rajendra P Appalaneni
Title
Owner
Phone
(917) 568-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

187 E Main St
Waterbury, CT 06702-2300

Mailing address

187 E Main St
Waterbury, CT 06702-2300
Phone (203) 757-2000

Other names 1

  • Waterbury Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

197 E Main St
Waterbury, CT 06702
Phone (203) 757-2000

187 E Main St
Waterbury, CT 06702
Phone (203) 757-2000

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891494688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022300",
            "telephone_number": "203-757-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022300",
            "telephone_number": "203-757-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-568-9000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterbury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waterbury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.