Organization Active NPI

Medicine Centre Hope Street LLC

  • Mail Order Pharmacy
  • Norwalk, CT
National Provider Identifier
1992769350
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
PCY0000434 Issued in CT
Legal business name
MEDICINE CENTRE HOPE STREET LLC
Practice address
664 Main Ave
Unit B101
Norwalk, CT 06851-1162
Phone
(203) 939-1836
Fax
(203) 939-1837
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kathy Wolak
Title
Managing Member
Phone
(203) 518-1147

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28RO00114900 NJ
Pharmacy 333600000X 033409 NY
Community/Retail Pharmacy 3336C0003X NP000838 PA
Long Term Care Pharmacy 3336L0003X PHN10764 RI
Mail Order Pharmacy 3336M0002X 0214001732 VA
Mail Order Pharmacy 3336M0002X PCY0000434 CT Primary
Mail Order Pharmacy 3336M0002X 036.125415 VT

Addresses

Primary practice location

664 Main Ave
Unit B101
Norwalk, CT 06851-1162

Mailing address

10 Fairfield Blvd
Unit C
Wallingford, CT 06492-5903
Phone (203) 939-1836

Other identifiers 2

IdentifierTypeStateIssuer
004249901MedicaidCT
2002651OtherPK

Other names 1

  • Connecticut Pharmacy Medical Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521001219 CT Part B Supplier - Mass Immunization (Roster Biller Only) 9830300532 Practice locations: Norwalk, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1992769350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD BLVD",
            "address_2": "UNIT C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925903",
            "telephone_number": "203-939-1836",
            "fax_number": "203-939-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 MAIN AVE",
            "address_2": "UNIT B101",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511162",
            "telephone_number": "203-939-1836",
            "fax_number": "203-939-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CENTRE HOPE STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WOLAK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-518-1147"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RO00114900",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "033409",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "NP000838",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "RI",
            "license": "PHN10764",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "VA",
            "license": "0214001732",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CT",
            "license": "PCY0000434",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "VT",
            "license": "036.125415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004249901",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Pharmacy Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Connecticut Pharmacy Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.