Provider Type Icon

CHARTWELL SOUTHERN NEW ENGLAND LLC NPI 1790725588


NPI Information

NPI: 1790725588
Provider Name: CHARTWELL SOUTHERN NEW ENGLAND, LLC

Doing Business As: OPTION CARE

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
80 CLARK DR
UNITE 1-A
EAST BERLIN, CT
ZIP 06023
Phone: (800) 755-1511
Get Directions

CHARTWELL SOUTHERN NEW ENGLAND, LLC is a home infusion therapy pharmacy pharmacy in East Berlin, CT. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. CHARTWELL SOUTHERN NEW ENGLAND, LLC NPI is 1790725588. The provider is registered as an organization entity type.
The provider Is Doing Business As Option Care.

The provider's business location address is:

80 CLARK DR
UNITE 1-A
EAST BERLIN, CT
ZIP 06023-157
Phone: (800) 755-1511
Fax: (860) 828-0029

The provider's authorized official is Joseph Bonaccorsi .
The authorized official title is Managing Member and has the following contact phone number (847) 229-7794.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 1/19/2009.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition1385CONNECTICUTNo
23336C0003XPharmacyCommunity/Retail Pharmacy1385CONNECTICUTNo
3332B00000XDurable Medical Equipment & Medical Supplies1385CONNECTICUTNo
43336H0001XPharmacyHome Infusion Therapy Pharmacy1385CONNECTICUTYes

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
1004129822MEDICAIDCONNECTICUT
20567610001MEDICARE NSC
3004131132MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.