Active NPIOrganization

Suburban Pharmacy Ltc INC

Pharmacy, Long Term Care Pharmacy in West Hartford, Connecticut

NPI Number1932236775
Practice location
342 N Main St, Ste 70, West Hartford, CT 06117-2500
Fax
860-882-1791
Last updated
September 19, 2024

Suburban Pharmacy Ltc INC is a healthcare organization based in West Hartford, CT. Suburban Pharmacy Ltc INC practices in West Hartford, CT. The NPI Number for Suburban Pharmacy Ltc INC is 1932236775 and holds a License No. 2051 (CT). The current practice location address for Suburban Pharmacy Ltc INC is 342 N Main St, Ste 70, West Hartford, CT 06117-2500 and can be reached out via phone at 860-882-1808 and via fax at 860-882-1791.

Provider Profile Details

NPI Number
1932236775
Provider Name
Suburban Pharmacy Ltc INC
Provider Entity Type
Organization
Address
342 N Main St, Ste 70, West Hartford, CT 06117-2500
Phone Number
860-882-1808
Fax Number
860-882-1791
Primary Taxonomy
Pharmacy, Long Term Care Pharmacy · 3336L0003X
Organization Subpart
No
Authorized Official
Mr. Ratna Kumar Kammuluri, RPH · Pharmacist · 860-882-1808
Other Names
Suburban Pharmacy Ltc INC (Doing Business As)
Provider Enumeration Date
February 28, 2007
Last Update Date
September 19, 2024
Certification Date
September 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
342 N Main St
Ste 70
West Hartford, CT 06117-2500
Zip
06117-2500
Phone Number
860-882-1808
Fax Number
860-882-1791
West Hartford, CT 06117Get directions →

Provider Business Mailing Address Details

Address
342 N Main St
Ste 70
West Hartford, CT 06117-2500
City
West Hartford
State
CT
Zip
06117-2500
Phone Number
860-882-1808
Fax Number
860-882-1791

License Information

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
License Number (2)
2051
License State (2)
CT
Taxonomy (2)
Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Suburban Pharmacy Ltc INC?

The NPI number of Suburban Pharmacy Ltc INC is 1932236775. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Suburban Pharmacy Ltc INC?

Suburban Pharmacy Ltc INC is registered under the primary taxonomy Pharmacy, Long Term Care Pharmacy (code 3336L0003X), licensed in CT under license number 2051.

Where does Suburban Pharmacy Ltc INC practice?

The practice location is 342 N Main St, Ste 70, West Hartford, CT 06117-2500. The office can be reached at 860-882-1808 (phone) or 860-882-1791 (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 1932236775 directly on the NPPES registry website.

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