Active NPI
Arrow Prescription Center 12 Inc
- Pharmacy
- Hartford, CT
National Provider Identifier
1972501294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 0347
- Legal business name
- ARROW PRESCRIPTION CENTER 12 INC
- Practice address
- 500 Farmington Ave
Hartford, CT 06105-3106 - Phone
- (860) 522-9289
- Fax
- (860) 231-7007
- NPI assigned
- Jul 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelo Defazio, RPH PD
- Title
- President Ceo
- Phone
- (860) 570-0543
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CT | ||
| Customized Equipment (DME) | 332BC3200X | CT | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | CT | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | CT | ||
| Pharmacy | 333600000X | 0347 | CT | Primary |
| Clinic Pharmacy | 3336C0002X | 0347 | CT | |
| Community/Retail Pharmacy | 3336C0003X | 0347 | CT | |
| Compounding Pharmacy | 3336C0004X | 0347 | CT | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 0347 | CT | |
| Institutional Pharmacy | 3336I0012X | 0347 | CT | |
| Long Term Care Pharmacy | 3336L0003X | 0347 | CT | |
| Mail Order Pharmacy | 3336M0002X | 0347 | CT | |
| Managed Care Organization Pharmacy | 3336M0003X | 0347 | CT | |
| Specialty Pharmacy | 3336S0011X | 0347 | CT | |
| Prosthetic/Orthotic Supplier | 335E00000X | CT |
Addresses
Primary practice location
500 Farmington Ave
Hartford, CT 06105-3106
Mailing address
500 Farmington Ave
Hartford, CT 06105-3106
Phone (860) 570-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004093100 | Medicaid | CT |
Other names 1
- Arrow Prescription Center #12
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1972501294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061053106",
"telephone_number": "860-570-0543",
"fax_number": "860-570-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061053106",
"telephone_number": "860-522-9289",
"fax_number": "860-231-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROW PRESCRIPTION CENTER 12 INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-11",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "DEFAZIO",
"authorized_official_first_name": "ANGELO",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "860-570-0543",
"authorized_official_credential": "RPH PD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CT",
"license": "0347",
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "CT",
"license": "0347",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004093100",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arrow Prescription Center #12",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.