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BORDONARO'S PHARMACY INC. NPI 1235201997


NPI Information

NPI: 1235201997
Provider Name: BORDONARO'S PHARMACY INC.

Doing Business As: THE MEDICINE CENTRE BORDONARO'S

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
283 MAIN ST
PORTLAND, CT
ZIP 06480
Phone: (860) 342-3390
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BORDONARO'S PHARMACY INC. is a community/retail pharmacy pharmacy in Portland, 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. BORDONARO'S PHARMACY INC. NPI is 1235201997. The provider is registered as an organization entity type.
The provider Is Doing Business As The Medicine Centre Bordonaro's.

The provider's business location address is:

283 MAIN ST
PORTLAND, CT
ZIP 06480-856
Phone: (860) 342-3390
Fax: (860) 342-3391

The provider's authorized official is Joseph E Bordonaro .
The authorized official title is Owner Manager and has the following contact phone number (860) 342-3390.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/4/2011.


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
13336L0003XPharmacyLong Term Care Pharmacy752CONNECTICUTNo
2332B00000XDurable Medical Equipment & Medical Supplies752CONNECTICUTNo
33336C0004XPharmacyCompounding Pharmacy752CONNECTICUTNo
43336C0003XPharmacyCommunity/Retail Pharmacy752CONNECTICUTYes

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
10360500001MEDICARE NSCCONNECTICUT
2004032512MEDICAIDCONNECTICUT
30701549OTHERCONNECTICUTNABP
412DME0003CT01OTHERCONNECTICUTBLUE CROSS DME
5004018933OTHERCONNECTICUTMEDICAID DME

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: 11/14/2023

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