Organization Active NPI

Wassef LLC

  • Community/Retail Pharmacy
  • Old Saybrook, CT
National Provider Identifier
1992189146
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mr. Nagy Wassef, RPHNPI 1932791647
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.