HEALTH COMPLEX MEDICAL LLC NPI 1598828873

NPI Information

  • NPI: 1598828873
  • Provider Name: HEALTH COMPLEX MEDICAL, LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • Address: 84 PROGRESS LN
    WATERBURY, CT
    ZIP 06705
  • Phone: (203) 753-7778

Map and Directions

Get Directions

NPI Details

HEALTH COMPLEX MEDICAL, LLC is a pharmacy in Waterbury, 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. HEALTH COMPLEX MEDICAL, LLC NPI is 1598828873. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

84 PROGRESS LN
WATERBURY, CT
ZIP 06705-829
Phone: (203) 753-7778
Fax: (203) 346-7593

The provider's authorized official is Wendy Russalesi .
The authorized official title is Chief Compliance Officer and has the following contact phone number (484) 246-9499.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 9/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist6569CONNECTICUTNo
23336M0002XPharmacyMail Order 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11846OTHERCONNECTICUTCT PHARMACY LICENSE
2004244381MEDICAIDCONNECTICUT
30719863OTHERNCPDP

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI