NPIMap

Organization Active NPI

Connecticut Pharmacare Inc

Doing business as Ford Pharmacy and Medical Supply

  • Community/Retail Pharmacy
  • Naugatuck, CT
National Provider Identifier
1902908668
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0000432 Issued in CT
Legal business name
CONNECTICUT PHARMACARE INC
Doing business as
Ford Pharmacy and Medical Supply
Practice address
2 Church St
Naugatuck, CT 06770-4112
Phone
(203) 729-2680
Fax
(203) 720-1626
NPI assigned
Sep 2, 2006
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Daniel VendettiNPI 1093800484
Title
Teasurer
Phone
(203) 723-1376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PCY.0000432 CT Primary

Addresses

Primary practice location

2 Church St
Naugatuck, CT 06770-4112

Mailing address

2 Church St
Naugatuck, CT 06770-4112
Phone (203) 729-2680

Other identifiers 3

IdentifierTypeStateIssuer
1998679OtherPK
4075776RXMedicaidCT
4075784DMEMedicaidCT

Other names 1

  • FORD PHARMACY AND MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

2 Church St
Naugatuck, CT 06770
Phone (203) 723-1376

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1902908668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704112",
            "telephone_number": "203-729-2680",
            "fax_number": "203-720-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704112",
            "telephone_number": "203-729-2680",
            "fax_number": "203-720-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT PHARMACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "VENDETTI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "TEASURER",
        "authorized_official_telephone_number": "203-723-1376"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0000432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998679",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4075776RX",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4075784DME",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORD PHARMACY AND MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.