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Connecticut Cvs Pharmacy, L.L.C.

Pharmacy in Bridgeport, CT. Organization (NPI-2).

NPI number1366546277
StatusActive
Last updated in NPPESMar 28, 2011

Details

NPI
1366546277
Entity type
Organization (NPI-2)
Legal business name
Connecticut Cvs Pharmacy, L.L.C.
Organization subpart
No
Enumeration date
Sep 12, 2006
Last updated
Mar 28, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy1435CTYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Cvs Pharmacy #01153 (Doing Business As)

Practice location

1875 Boston Ave
Bridgeport, CT 06610-2623

Phone 203-330-8278

Mailing address

1 Cvs Dr
Po Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500 · Fax 401-770-7108

Authorized official

Susan Colbert
Director
4017651500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy providers in Bridgeport, CT

All 11 Pharmacy providers in Bridgeport · All 3,629 providers in Bridgeport

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