Organization Active NPI

Westport Pharmacy LLC

Doing business as Westport Pharmacy

  • Community/Retail Pharmacy
  • Westport, CT
National Provider Identifier
1902607070
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Mr. Kenneth H Lee, JDNPI 1477917516
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910000863 CT Part B Supplier - Pharmacy 6709389489 Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.