Active NPI
Westport Pharmacy LLC
Doing business as Westport Pharmacy
- Community/Retail Pharmacy
- Westport, CT
National Provider Identifier
1902607070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WESTPORT PHARMACY LLC
- Doing business as
- Westport Pharmacy
- Practice address
- 1260 Post Rd E
Westport, CT 06880-5427 - Phone
- (917) 532-1285
- NPI assigned
- Mar 24, 2025
- Last updated
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth H Lee, JD
- Title
- Owner
- Phone
- (917) 532-1285
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1260 Post Rd E
Westport, CT 06880-5427
Mailing address
37 Hemlock RDG
Weston, CT 06883-2000
Phone (917) 532-1285
Other names 1
- Westport Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250910000863 | CT | Part B Supplier - Pharmacy | 6709389489 | Practice locations: Westport, CT |
National Provider Directory
National Provider DirectoryLocations
1260 Post Rd E
Westport, CT 06880
Phone (203) 293-0005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Fairfield, CT
- NPI 1477917516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1902607070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 HEMLOCK RDG",
"city": "WESTON",
"state": "CT",
"postal_code": "068832000",
"telephone_number": "917-532-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 POST RD E",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805427",
"telephone_number": "917-532-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTPORT PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-23",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-532-1285",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westport Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.