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DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT INC NPI 1598777153


NPI Information

NPI: 1598777153
Provider Name: DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
155 HAZARD AVE UNIT 16
ENFIELD, CT
ZIP 06082
Phone: (860) 749-3824
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DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC is a long term care pharmacy pharmacy in Enfield, CT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC NPI is 1598777153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 HAZARD AVE UNIT 16
ENFIELD, CT
ZIP 06082-580
Phone: (860) 749-3824

The provider's authorized official is Charles F Etuk .
The authorized official title is President and has the following contact phone number (860) 749-3824.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 5/3/2012.


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
1183500000XPharmacistNo
23336C0003XPharmacyCommunity/Retail Pharmacy2068CONNECTICUTNo
3332B00000XDurable Medical Equipment & Medical Supplies2068CONNECTICUTNo
43336L0003XPharmacyLong Term Care Pharmacy2068CONNECTICUTYes

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
1004262820MEDICAIDCONNECTICUT
2004262838MEDICAIDCONNECTICUT
35860090001MEDICARE NSCCONNECTICUT

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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