Nutmeg Pharmacy New London LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NUTMEG PHARMACY NEW LONDON LLC

Practice address

345 Broad St
New London, CT 06320-3726

Phone

(860) 395-8264

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Beth-Ann Larosa

Title

Office Manager

Phone

(860) 345-3607

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nutmeg/LTC Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Nutmeg Pharmacy New London2 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.

• Nutmeg Pharmacy New London LLC

  • Long Term Care Pharmacy
  • New London, CT
  • NPI 1891370466
  NPD tax ID

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1982203147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064410540",
            "telephone_number": "860-910-4909",
            "fax_number": "860-910-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BROAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203726",
            "telephone_number": "860-395-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG PHARMACY NEW LONDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "LAROSA",
        "authorized_official_first_name": "BETH-ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-345-3607"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008099698",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutmeg/LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Elaine Nowak, PT, DPT, GCS
• Paul Michael Nowak, DO
• Anna Marie Noyes
• Matthew A. Nucci, CRNA
• Nutmeg Pharmacy New London LLC
• Ekelechi Nwanju, CRNA, DNP
• Traci O'Brien, DPT
• Laura M O'Connell, NURSE PRACTITIONER
• Kathryn O'Connor, PA-C
• Sophia Gee O'Donnell, MD

• All providers in New London, CT
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.