Grade A Market Derby Llc in Derby - Community/retail Pharmacy
Grade A Market Derby Llc - NPI 1548311848
Grade A Market Derby Llc is a Community/retail Pharmacy in Derby, Connecticut. Grade A Market Derby Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Grade A Market Derby Llc is 1548311848. The last update date is 2017-11-17.
Grade A Market Derby Llc's current location address is 49 Pershing Dr, Derby, Connecticut. You can contact this provider via phone number 2037361055 and fax number 2037361007. The mailing address for Grade A Market Derby Llc is 49 Pershing Dr, Derby, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grade A Market Derby Llc |
|---|---|
| Address | 49 Pershing Dr, Derby, Connecticut |
| Phone Number | 2037361055 |
| Fax Number | 2037361007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THIRD PART |
|---|---|
| Authorized Official Name | Figueroa Rivera Melissa |
| Telephone Number | 7325218439 |
NPI Number Detail
| NPI Number | 1548311848 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2017-11-17 |
Provider Mailing Address Detail
| Address | 49 Pershing Dr |
|---|---|
| City | Derby |
| State | Connecticut (CT) |
| Post Code | 64181406 |
| Phone Number | 2037361055 |
| Fax Number | 2037361007 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PCY0001803 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 719178 | NCPDP PROVIDER IDENTIFICATION | ||
| 4222923 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Grade A Market Derby Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Grade A Market Derby Llc has been assigned the NPI (National Provider Identifier) 1548311848. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Grade A Market Derby Llc is located?
The Grade A Market Derby Llc is situated at the following address: 49 Pershing Dr, Derby, CT, 64181406.
What is Grade A Market Derby Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grade A Market Derby Llc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Grade A Market Derby Llc receive the assignment of its 1548311848 from the Centers for Medicare & Medicaid Services?
The Grade A Market Derby Llc was issued its 1548311848 by the Centers for Medicare & Medicaid Services on 2007-01-15.
When was the information regarding Grade A Market Derby Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grade A Market Derby Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-11-17.