Connecticut CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CONNECTICUT CVS PHARMACY LLC

Practice address

989 Boston Post Road
Milford, CT 06460

Phone

(203) 783-9058

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS Pharmacy # 00071 Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Connecticut CVS Pharmacy LLC167 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Bethel, CT
  • NPI 1881798783
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • New Britain, CT
  • NPI 1891717492
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • East Hampton, CT
  • NPI 1891967410
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Danbury, CT
  • NPI 1902901754
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Farmington, CT
  • NPI 1922103779
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Waterbury, CT
  • NPI 1962506881
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Bristol, CT
  • NPI 1962782334
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Manchester, CT
  • NPI 1972072072
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Southington, CT
  • NPI 1972607877
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Windsor, CT
  • NPI 1972685337
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Gales Ferry, CT
  • NPI 1972868180
  NPD tax ID
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Trumbull, CT
  • NPI 1982626586
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

Practitioners 2

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

• Ashley Hayman

  • Pharmacist
  • Milford, CT
  • NPI 1912489113
  NPD (past)
• Ngoc Nguyen, PHARMD

  • Pharmacist
  • Milford, CT
  • NPI 1740140334
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1922270602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075 - PHARMACY ENROLLMENTS",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 BOSTON POST ROAD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-783-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008001331",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0721096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy # 00071",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Milford, CT
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.