MEDICARE: CONNECTICUT CVS PHARMACY, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	1239	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0711019	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477657377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTICUT CVS PHARMACY, L.L.C.

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:	401-770-7108

Provider Business Practice Location Address
First Line	:	24 PERSHING DR # 36
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-2214
Country	:	US
Telephone Number	:	203-735-7837
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-765-1500

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	03/25/2011

Similar Medicare Providers

1568396836 — KIMBERLY BENSON PHARMD
Practice Location Address:

24 PERSHING DR # 36
ANSONIA, CT
06401-2214

Practice Phone: 203-735-7837
Practice Fax:

1255584587 — THERESA CONROY
Practice Location Address:

24 PERSHING DR # 36
ANSONIA, CT
06401-2214

Practice Phone: 612-225-1534
Practice Fax:

1902161714 — DR. SANG WOO LEE PHARMD
Practice Location Address:

24 PERSHING DR
ANSONIA, CT
06401-2214

Practice Phone: 203-735-7837
Practice Fax:

1093177065 — MELISSA BONANNO R.PH.
Practice Location Address:

24 PERSHING DR
ANSONIA, CT
06401-2214

Practice Phone: 203-735-7837
Practice Fax:

1427403005 — MR. VALENTINO CARUSO II PHARMD
Practice Location Address:

24-36 PERSHING DRIVE
ANSONIA, CT
06401-2214

Practice Phone: 203-735-7837
Practice Fax: 203-735-3080

1255988523 — MICHAEL G DEOTTE
Practice Location Address:

24 PERSHING DR
ANSONIA, CT
06401-2214

Practice Phone: 203-735-7837
Practice Fax:

Directions to “CONNECTICUT CVS PHARMACY, L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.