Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0002311 Issued in CT

Legal business name

COMMUNITY PHARMACY INC

Practice address

926 Main St
East Hartford, CT 06108-2237

Phone

(201) 270-8013

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Praveen K Dhulipalla

Title

Manager

Phone

(201) 270-8013

Specialties & licenses 1

Addresses

Other names 1

• Riverside Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Practitioners 1

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

• Mujtaba Khan, PHARMD

  • Pharmacist
  • East Hartford, CT
  • NPI 1205617040
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1922495563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082237",
            "telephone_number": "201-270-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082237",
            "telephone_number": "201-270-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "DHULIPALLA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-270-8013"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0002311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latoia D Comeaux, LMSW,LADC
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• Community Pharmacy Inc
• Companions & Home Helpers, LLC
• Concentra Health Services, Inc.
• Nancy Concepcion
• Connecticut CVS Pharmacy LLC
• Connecticut CVS Pharmacy, L.L.C.

• Community/Retail Pharmacy in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.