Active NPI
Wassef LLC
- Community/Retail Pharmacy
- Old Saybrook, CT
National Provider Identifier
1992189146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WASSEF LLC
- Practice address
- 535 Boston Post Rd
Old Saybrook, CT 06475-1506 - Phone
- (860) 449-3097
- Fax
- (860) 442-4513
- NPI assigned
- Jul 17, 2015
- 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
- Mr. Nagy Wassef, RPH
- Title
- President
- Phone
- (860) 449-3097
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
535 Boston Post Rd
Old Saybrook, CT 06475-1506
Mailing address
535 Boston Post Rd
Old Saybrook, CT 06475-1506
Phone (860) 449-3097
Other names 1
- THE MEDICINE SHOPPE 2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160908000843 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608162219 | Practice locations: Old Saybrook, CT |
| O20161118001181 | CT | DME Supplier - Pharmacy | 6608162219 | Practice locations: Old Saybrook, CT |
National Provider Directory
National Provider DirectoryLocations
535 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 339-5667
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Old Saybrook, CT
- NPI 1932791647
-
- Pharmacist
- Old Saybrook, CT
- NPI 1912453887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1992189146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751506",
"telephone_number": "860-449-3097",
"fax_number": "860-442-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751506",
"telephone_number": "860-449-3097",
"fax_number": "860-442-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASSEF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "WASSEF",
"authorized_official_first_name": "NAGY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-449-3097",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE MEDICINE SHOPPE 2024",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.