Connecticut Pharmacy Direct LLC
Pharmacy, Specialty Pharmacy in Wallingford, Connecticut
1487017067- Practice location
- 10 Fairfield Blvd Unit C, Wallingford, CT 06492-5903
- Phone
- 203-443-1213
- Fax
- 203-443-1085
- Last updated
- September 19, 2025
Connecticut Pharmacy Direct LLC is a healthcare organization based in Wallingford, CT. Connecticut Pharmacy Direct LLC practices in Wallingford, CT. The NPI Number for Connecticut Pharmacy Direct LLC is 1487017067 and holds a License No. NR1506 (NH). The current practice location address for Connecticut Pharmacy Direct LLC is 10 Fairfield Blvd Unit C, Wallingford, CT 06492-5903 and can be reached out via phone at 203-443-1213 and via fax at 203-443-1085.
Provider Profile Details
- NPI Number
- 1487017067
- Provider Name
- Connecticut Pharmacy Direct LLC
- Provider Entity Type
- Organization
- Address
- 10 Fairfield Blvd Unit C, Wallingford, CT 06492-5903
- Phone Number
- 203-443-1213
- Fax Number
- 203-443-1085
- Primary Taxonomy
- Pharmacy, Specialty Pharmacy · 3336S0011X
- Organization Subpart
- No
- Authorized Official
- Scott Wolak · President And Ceo · 203-518-1146
- Other Names
- Connecticut Pharmacy Direct (Doing Business As)
- Provider Enumeration Date
- April 1, 2016
- Last Update Date
- September 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Fairfield Blvd Unit C
Wallingford, CT 06492-5903 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-5903
- Phone Number
- 203-443-1213
- Fax Number
- 203-443-1085
Provider Business Mailing Address Details
- Address
- 10 Fairfield Blvd Unit C
Wallingford, CT 06492-5903 - City
- Wallingford
- State
- CT
- Zip
- 06492-5903
- Phone Number
- 203-443-1213
- Fax Number
- 203-443-1085
License Information
- License Number (1)
- NR1506
- License State (1)
- NH
- Taxonomy (1)
- Pharmacy · 333600000X
- License Number (2)
- 035394
- License State (2)
- NY
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (3)
- PHN11251
- License State (3)
- RI
- Taxonomy (3)
- Pharmacy, Specialty Pharmacy · 3336S0011X
- License Number (4)
- PCY.0002331
- License State (4)
- CT
- Taxonomy (4)
- Pharmacy, Specialty Pharmacy · 3336S0011X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Connecticut Pharmacy Direct LLC?
The NPI number of Connecticut Pharmacy Direct LLC is 1487017067. It was assigned on April 1, 2016 and is currently active in the NPPES registry.
What is the specialty of Connecticut Pharmacy Direct LLC?
Connecticut Pharmacy Direct LLC is registered under the primary taxonomy Pharmacy, Specialty Pharmacy (code 3336S0011X), licensed in NH under license number NR1506.
Where does Connecticut Pharmacy Direct LLC practice?
The practice location is 10 Fairfield Blvd Unit C, Wallingford, CT 06492-5903. The office can be reached at 203-443-1213 (phone) or 203-443-1085 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487017067 directly on the NPPES registry website.