Organization Active NPI

Manchester Pharmacy, LLC

  • Community/Retail Pharmacy
  • Manchester, CT
National Provider Identifier
1982856944
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY-0001290 Issued in CT
Legal business name
MANCHESTER PHARMACY, LLC
Practice address
348 Main St
Manchester, CT 06040-4123
Phone
(860) 649-1025
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Anil Piligilla, RPH
Title
Pharmacist
Phone
(860) 649-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY-0001290 CT Primary

Addresses

Primary practice location

348 Main St
Manchester, CT 06040-4123

Mailing address

348 Main St
Manchester, CT 06040-4123
Phone (860) 649-1025

Other identifiers 1

IdentifierTypeStateIssuer
0711970OtherNABP

Other names 1

  • MANCHESTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manchester Pharmacy2 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.

Locations

348 Main St
Manchester, CT 06040
Phone (860) 649-1025

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1982856944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404123",
            "telephone_number": "860-649-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404123",
            "telephone_number": "860-649-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "PILIGILLA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "860-649-1025",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY-0001290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0711970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANCHESTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.