Organization Active NPI

New Haven Pharmacy, Inc

  • Community/Retail Pharmacy
  • New Haven, CT
National Provider Identifier
1902141872
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0002257 Issued in CT
Legal business name
NEW HAVEN PHARMACY, INC
Practice address
390 Grand Ave
New Haven, CT 06513-3733
Phone
(203) 777-3700
Fax
(203) 777-3701
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Mr. Akil R ShaikhNPI 1326628603
Title
Pharmacist
Phone
(203) 777-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PCY.0002257 CT
Community/Retail Pharmacy 3336C0003X PCY.0002257 CT Primary

Addresses

Primary practice location

390 Grand Ave
New Haven, CT 06513-3733

Mailing address

374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-3700

Other identifiers 2

IdentifierTypeStateIssuer
PCY.0002257OtherCTBOARD OF PHARMACY
8043774MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140402001654 CT DME Supplier - Pharmacy 5698906725 Practice locations: New Haven, CT
O20210112001945 CT Part B Supplier - Pharmacy 5698906725 Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Locations

390 Grand Ave
New Haven, CT 06513
Phone (203) 777-3700

382 Grand Ave
New Haven, CT 06513
Phone (203) 777-3700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1902141872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133733",
            "telephone_number": "203-777-3700",
            "fax_number": "203-777-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133733",
            "telephone_number": "203-777-3700",
            "fax_number": "203-777-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "AKIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "203-777-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "PCY.0002257",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PCY.0002257",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8043774",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.

Verify at the official NPI Registry.