Hartford Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY 002255 Issued in CT

Legal business name

HARTFORD PHARMACY, INC.

Practice address

531 Park St
Hartford, CT 06106-1518

Phone

(860) 422-8888

Fax

(860) 422-8880

NPI assigned

Dec 4, 2012

Last updated

Nov 21, 2023By 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. Praveen K Dhulipalla, RPH

Title

Owner

Phone

(860) 422-8888

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1952646739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PARK ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061518",
            "telephone_number": "860-422-8888",
            "fax_number": "860-422-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 PARK ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061518",
            "telephone_number": "860-422-8888",
            "fax_number": "860-422-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "DHULIPALLA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-422-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY 002255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7316220001",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008043295",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hartford Ophthalmology Associates, Inc
• Hartford Orthopaedic Plastic & Hand Surgeons Inc. (The Hand Center)
• Hartford Pathology Associates, P.C.
• Hartford Pharmacy II Inc (Hartford Pharmacy II)
• Hartford Pharmacy II Inc
• Hartford Pharmacy, Inc. (Hartford Pharmacy)
• Hartford Physician Services PC (Hartford Medical Group)
• Hartford Physician's Management Corp. (Hartford GYN Center)
• Hartford Podiatry Group LLC
• Hartford Psychological Services LLC.

• Community/Retail Pharmacy in Hartford, CT
• Providers in 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 Nov 21, 2023; 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.