Pharmacyatbbsquare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACYATBBSQUARE LLC

Doing business as

Pharmacy at Blue Back

Practice address

55 Isham Rd
West Hartford, CT 06107-2205

Phone

(860) 656-6229

Fax

(860) 968-0013

NPI assigned

Dec 18, 2021

Last updated

Jan 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shoshana Katayev, PHARMDNPI 1598501256

Title

Pharmacist

Phone

(860) 656-6229

Specialties & licenses 1

Addresses

Other names 1

• Pharmacy at Blue Back Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Tax ID family

Pharmacy at Blue Back2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmacyatbbsquare LLC

  • Community/Retail Pharmacy
  • West Hartford, CT
  • NPI 1235077025
  NPD tax ID

Practitioners 2

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.

• Shoshana Katayev

  • Pharmacist
  • Astoria, NY
  • NPI 1598501256
  NPD Authorized official
• Ariel Zaurov, RPH

  • Pharmacist
  • New York, NY
  • NPI 1104140557
  NPD

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

{
    "created_epoch": "1639785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1952061939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ISHAM RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072205",
            "telephone_number": "860-656-6229",
            "fax_number": "860-968-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ISHAM RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072205",
            "telephone_number": "860-656-6229",
            "fax_number": "860-968-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACYATBBSQUARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "KATAYEV",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "860-656-6229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy at Blue Back",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy at Blue Back",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter S Katz DMD
• Peter Tolisano PSYD LLC
• Susan Elizabeth Peterman, PHD
• Matthew Paul Peverly, OT
• Pharmacyatbbsquare LLC
• Frances R Phelps, RPT
• Charles Philip, D.O.
• Meghan Philips, APRN
• Cruger Johnson Phillips, L.P.C.
• Doris J Phillips, MD

• Community/Retail Pharmacy in West Hartford, CT
• Providers in West 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 Jan 8, 2026; 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.