Jewett City Pharmacy

LBN: Jewett City Pharmacy
Jewett City Pharmacy is an health care organization with primary practice located at 78 Main St , Jewett City CT 06351-2226. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jewett City Pharmacy can be contacted via phone (860) 376-4468, or through Komari, Tony via phone (860) 376-4468.

Contact Information

Primary practice address
78 Main St Jewett City CT 06351-2226
Phone: (860) 376-4468
Fax: (860) 376-0399
Website:
Map and Directions
Authorized official contact:
Name: Komari, Tony RPH
Phone: (860) 376-4468

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.0000657 Connecticut
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1689676074
LBN Legal business name Jewett City Pharmacy
DBA Doing business as Jewett City Pharmacy
Authorized official Komari, Tony RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689676074 NPPES
Connecticut MEDICAID 004167963
Connecticut MEDICAID 004032751
Connecticut MEDICAID 004167971
Connecticut Other 2001749

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