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COMPUTERX PHARMACY INC NPI 1174505036


NPI Information

NPI: 1174505036
Provider Name: COMPUTERX PHARMACY INC

Doing Business As: COMPUTERX PHARMACY IV

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
35 ONTARIO ST
STRATFORD, CT
ZIP 06615
Phone: (203) 375-8000
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COMPUTERX PHARMACY INC is a durable medical equipment medical supplies in Stratford, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COMPUTERX PHARMACY INC NPI is 1174505036. The provider is registered as an organization entity type.
The provider Is Doing Business As Computerx Pharmacy Iv.

The provider's business location address is:

35 ONTARIO ST
STRATFORD, CT
ZIP 06615-135
Phone: (203) 375-8000
Fax: (800) 784-5430

The provider's authorized official is Michael William Licamele .
The authorized official title is Cheif Executive Officer and has the following contact phone number (203) 375-8000.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies1524CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
181195000MEDICAIDWISCONSIN
20076567170003MEDICAIDPENNSYLVANIA
34645110MEDICAIDMICHIGAN
4852021MEDICAIDARIZONA
5XDME03019MEDICAIDCALIFORNIA
69003226900MEDICAIDKENTUCKY
702620148MEDICAIDNEW YORK
87419015MEDICAIDNEW JERSEY
99126431MEDICAIDVIRGINIA
100076567170002MEDICAIDPENNSYLVANIA
112332587MEDICAIDOHIO
127419007MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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