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HIGGANUM PHARMACY LLC NPI 1447567961


NPI Information

NPI: 1447567961
Provider Name: HIGGANUM PHARMACY LLC

Doing Business As: NUTMEG PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
23 KILLINGWORTH RD
HIGGANUM, CT
ZIP 06441
Phone: (860) 345-3607
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HIGGANUM PHARMACY LLC is a community/retail pharmacy pharmacy in Higganum, 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. HIGGANUM PHARMACY LLC NPI is 1447567961. The provider is registered as an organization entity type.
The provider Is Doing Business As Nutmeg Pharmacy.

The provider's business location address is:

23 KILLINGWORTH RD
HIGGANUM, CT
ZIP 06441-242
Phone: (860) 345-3607
Fax: (860) 345-3611

The provider's authorized official is Gregory Mckenna .
The authorized official title is Managing Member and has the following contact phone number (860) 345-3607.

The enumeration date for this NPI number is 9/3/2010 and was last updated on 2/6/2023.


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 PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPCY.0002191CONNECTICUTYes

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
100802487MEDICAIDCONNECTICUT
22126690OTHERPK

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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