Organization Active NPI

Diya Corporation

  • Community/Retail Pharmacy
  • Watertown, CT
National Provider Identifier
1962423913
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY0000236 Issued in CT
Legal business name
DIYA CORPORATION
Practice address
55 Deforest St
Watertown, CT 06795-2126
Phone
(860) 274-8816
Fax
(860) 945-1728
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Sanjay Patel, RPH
Title
President
Phone
(860) 274-8816

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PCY0000236 CT Primary

Addresses

Primary practice location

55 Deforest St
Watertown, CT 06795-2126

Mailing address

55 Deforest PL
Watertown, CT 06795-2189
Phone (860) 274-8816

Other identifiers 3

IdentifierTypeStateIssuer
004251401MedicaidCT
004251378MedicaidCT
1998234OtherPK

Other names 1

  • HEALTH COMPLEX PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930070297 CT DME Supplier - PharmacyDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 7618188228 Practice locations: Watertown, CT
O20210203001874 CT Part B Supplier - Mass Immunization (Roster Biller Only) 7618188228 Practice locations: Watertown, CT

National Provider Directory

National Provider Directory
Tax ID family
Diya Corporation2 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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1962423913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DEFOREST PL",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952189",
            "telephone_number": "860-274-8816",
            "fax_number": "860-945-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DEFOREST ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952126",
            "telephone_number": "860-274-8816",
            "fax_number": "860-945-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-19",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-274-8816",
        "authorized_official_credential": "RPH"
    },
    "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": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0000236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004251401",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004251378",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH COMPLEX PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.