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LUPES DRUG STORE INC NPI 1932203510


NPI Information

NPI: 1932203510
Provider Name: LUPES DRUG STORE INC

Doing Business As: LUPES DRUG STORE OF FAIRFIELD

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2035 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825
Phone: (203) 368-1955
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LUPES DRUG STORE INC is a community/retail pharmacy pharmacy in Fairfield, 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. LUPES DRUG STORE INC NPI is 1932203510. The provider is registered as an organization entity type.
The provider Is Doing Business As Lupes Drug Store Of Fairfield.

The provider's business location address is:

2035 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825-550
Phone: (203) 368-1955
Fax: (203) 384-2551

The provider's authorized official is Craig Massaro .
The authorized official title is Owner and has the following contact phone number (203) 368-1955.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/19/2018.


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
23336L0003XPharmacyLong Term Care PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
43336C0003XPharmacyCommunity/Retail PharmacyPCY.0000860CONNECTICUTYes

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
1004017943MEDICAIDCONNECTICUT
21998247OTHERPK
3004030771MEDICAIDCONNECTICUT

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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