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DANIELSON PHARMACY INC
NPI 1063624922
Prosthetic/Orthotic Supplier in Danielson, CT

Active since May 04, 2007
77 WESTCOTT RD, DANIELSON, CT 06239(860) 774-9362(860) 779-2647 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Danielson Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELSON PHARMACY INC (NPI 1063624922), doing business as Bonneville Pharmacy And Home Care, is a healthcare organization registered as a prosthetic/orthotic supplier in Danielson, Connecticut and active in the NPI registry since May 2007. The organization lists Robert F Nethercote, Owner President, as its authorized official.

NPPES Registry Identity

NPI1063624922
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameDANIELSON PHARMACY INC
Location Address77 WESTCOTT RDDanielson, CT 06239-2929
Mailing Address77 Westcott RdDanielson, CT 06239-2929 · (860) 774-9362 · Fax (860) 779-2647
Phone(860) 774-9362
Fax(860) 779-2647
Organization SubpartNo
Authorized OfficialRobert F NethercoteOwner President · (860) 774-9362
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1063624922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in CT · 159
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 159 (CT)
77 WESTCOTT RD, Danielson, CT 06239
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Other Names 1

Doing Business AsBonneville Pharmacy And Home Care

Other Identifiers 1

Other12DME0671CT01CT · Bcbs

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNEVILLE RX LLC
Pharmacy (Community/Retail Pharmacy)
77 WESTCOTT RD
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (860) 774-9362
CLUTCH INC
Pharmacy (Community/Retail Pharmacy)
77 WESTCOTT RD
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (401) 864-0460
KYLE S MCLAUGHLIN PHARMD
Pharmacist
77 WESTCOTT RD
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (860) 774-0050
CLUTCH INC
Pharmacy (Long Term Care Pharmacy)
77 WESTCOTT RD
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (860) 774-0050
DANIELSON PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
77 WESTCOTT RD
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (860) 774-0050
DANIELSON PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
77 WESTCOTT RD
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (860) 774-0050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danielson Pharmacy Inc's NPI number?

The NPI number for Danielson Pharmacy Inc is 1063624922. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Bonneville Pharmacy and Home Care.

Where is Danielson Pharmacy Inc located?

Danielson Pharmacy Inc is located at 77 Westcott Rd, Danielson, CT 06239. The listed phone number is (860) 774-9362.

What is Danielson Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Danielson Pharmacy Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.