Big Y Pharmacy #61
LBN: Big Y Foods Inc
Big Y Pharmacy #61 is an health care organization with primary practice located at 995 Poquonnock Road , Groton CT 06340. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Big Y Foods Inc can be contacted via phone (860) 445-7719, or through Pappas, George via phone (413) 504-4492.
Contact Information
Primary practice address
995 Poquonnock Road
Groton CT 06340
Phone: (860) 445-7719
Fax: (860) 448-3145
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 4259010021 | Connecticut |
Suppliers / Pharmacy | 333600000X | PCY1203 | Connecticut |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1013007095 |
---|---|
LBN Legal business name | Big Y Foods Inc |
DBA Doing business as | Big Y Pharmacy #61 |
Authorized official | Pappas, George |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Dec 15th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013007095 | NPPES |
Connecticut | MEDICAID | 004247822 | |
Connecticut | Other | 0720133 |
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