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CONNECTICUT CVS PHARMACY LLC NPI 1275818288


NPI Information

NPI: 1275818288
Provider Name: CONNECTICUT CVS PHARMACY LLC

Doing Business As: WELLNESS WORKS PHARMACY #10100

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
151 FARMINGTON AVE
HARTFORD, CT
ZIP 06156
Phone: (860) 273-3184
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CONNECTICUT CVS PHARMACY LLC is a pharmacy in Hartford, CT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CONNECTICUT CVS PHARMACY LLC NPI is 1275818288. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Works Pharmacy #10100.

The provider's business location address is:

151 FARMINGTON AVE
HARTFORD, CT
ZIP 06156-001
Phone: (860) 273-3184

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 10/21/2011 and was last updated on 1/23/2014.


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 SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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
15622940140MEDICARE NSC
2D100027282MEDICARE PINCONNECTICUT
3008037457OTHERCONNECTICUTDME
40722581OTHERNCPDP
5008035665MEDICAIDCONNECTICUT

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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