Provider Type Icon

MEDICINE CENTRE HOPE STREET LLC NPI 1992769350


NPI Information

NPI: 1992769350
Provider Name: MEDICINE CENTRE HOPE STREET LLC

Doing Business As: CONNECTICUT PHARMACY MEDICAL SUPPLY

Classification: Pharmacy - 3336M0002X
Entity Type: Organization

Specialization: Mail Order Pharmacy

CLIA Number: 07D2224165

Address:
664 MAIN AVE
UNIT B101
NORWALK, CT
ZIP 06851
Phone: (203) 939-1836
Get Directions

MEDICINE CENTRE HOPE STREET LLC is a mail order pharmacy pharmacy in Norwalk, CT. The provider is a pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. MEDICINE CENTRE HOPE STREET LLC NPI is 1992769350. The provider is registered as an organization entity type.
The provider Is Doing Business As Connecticut Pharmacy Medical Supply.

The provider's business location address is:

664 MAIN AVE
UNIT B101
NORWALK, CT
ZIP 06851-162
Phone: (203) 939-1836
Fax: (203) 939-1837

The provider's authorized official is Kathy Wolak .
The authorized official title is Managing Member and has the following contact phone number (203) 518-1147.

The CLIA number assigned to this NPI record is 07D2224165 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 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
1332B00000XDurable Medical Equipment & Medical Supplies28RO00114900NEW JERSEYNo
2333600000XPharmacy033409NEW YORKNo
33336C0003XPharmacyCommunity/Retail PharmacyNP000838PENNSYLVANIANo
43336L0003XPharmacyLong Term Care PharmacyPHN10764RHODE ISLANDNo
53336M0002XPharmacyMail Order Pharmacy0214001732VIRGINIANo
63336M0002XPharmacyMail Order Pharmacy036.125415VERMONTNo
73336M0002XPharmacyMail Order PharmacyPCY0000434CONNECTICUTYes

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
1004249901MEDICAIDCONNECTICUT
22002651OTHERPK

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.