Fair Haven Pharmacy is an authorized DME supplier for medicare equipments and products.
Fair Haven Pharmacy is a Community/Retail Pharmacy in New Haven, Connecticut. This pharmacy is owned and operated by My Fair Haven Pharmacy Llc. It is located at 72 Grand Ave, New Haven and it's customer support contact number is 203-498-3479. The authorized person of Fair Haven Pharmacy is Manthena V Varma who is Member of the pharmacy and his contact number is 203-498-3479. Active license number of Fair Haven Pharmacy is PCY.0002315 for Community/Retail Pharmacy in Connecticut. Fair Haven Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Fair Haven Pharmacy is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Fair Haven Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Fair Haven Pharmacy
Type:
Community/Retail Pharmacy
Location:
72 Grand Ave, New Haven, Connecticut, 06513
Phone:
203-498-3479
Fax:
203-498-8000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Manthena V Varma
Position:
Member
Contact Number:
203-498-3479
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1568839876
NPI Enumeration Date:
24 Aug, 2015
NPI Last Update On:
01 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fair Haven Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PCY.0002315
Connecticut
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008061384
Medicaid
Connecticut
008064135
Other
Connecticut
Medicaid Dme
Medicare Enrollment:
Fair Haven Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
2466752985
O20151204001204
My Fair Haven Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
2466752985
O20160212000054
My Fair Haven Pharmacy Llc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
72 Grand Ave, New Haven, Connecticut
Zip:
06513
Phone Number:
203-498-3479
Fax Number:
203-498-8000
Patients can reach Fair Haven Pharmacy at 72 Grand Ave, New Haven, Connecticut or can call on customer care at 203-498-3479.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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