Abh Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Branford, CT
NPI 1891739645 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1891739645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PCY.0001705 (CT)
- Legal business name
- ABH PHARMACY LLC
- Practice address
- 189 Alps Rd
Branford, CT 06405-4771 - Phone
- (203) 315-2634
- Fax
- (203) 315-2154
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Marie N Puccino
- Title
- Pharmacy Office Manager
- Phone
- (203) 315-2634
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230505002200 | CT | Part B Supplier - Pharmacy | 4789049271 | Practice locations: Branford, CT |
National Provider Directory
Locations
29 Business Park Dr
Ste One
Branford, CT 06405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | PCY.0001705 | CT | Yes |
Addresses
Primary practice location
189 Alps Rd
Branford, CT 06405-4771
Mailing address
189 Alps Road
Branford, CT 06405
Phone (203) 315-2634
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002410 | Other | PK | |
| 004214714 | Medicaid | CT |
Other names
- ABH PHARMACY
Other providers in Branford, CT
- Abh Opco LLC
- Abh Pharmacy LLC
- Amira Ali Abihaidar
- Laura G Adair
- Sarah Adkins
- Aim Well, LLC
- Taylor Alessi
All providers in Branford, CT · Long Term Care Pharmacy in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.