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BRIDGEPORT PHARMACY LLC NPI 1588821789


NPI Information

NPI: 1588821789
Provider Name: BRIDGEPORT PHARMACY LLC

Doing Business As: BRIDGEPORT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 07D2154921

Address:
978 E MAIN ST
BRIDGEPORT, CT
ZIP 06608
Phone: (203) 367-9000
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BRIDGEPORT PHARMACY LLC is a community/retail pharmacy pharmacy in Bridgeport, CT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BRIDGEPORT PHARMACY LLC NPI is 1588821789. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeport Pharmacy.

The provider's business location address is:

978 E MAIN ST
BRIDGEPORT, CT
ZIP 06608-913
Phone: (203) 367-9000
Fax: (203) 367-9004

The provider's authorized official is Rajendra Appalaneni .
The authorized official title is President and has the following contact phone number (917) 568-9000.

The CLIA number assigned to this NPI record is 07D2154921 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 10/18/2021.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPCY.0002115CONNECTICUTYes

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
12002934OTHERPK

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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