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BONNEVILLE PHARMACY
NPI 1164587580
Pharmacy - Community/Retail Pharmacy in Danielson, CT

Active since December 26, 2006
77 WESTCOTT RD, DANIELSON, CT 06239(860) 774-9362(860) 779-2647 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonneville Pharmacy NPPES

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

BONNEVILLE PHARMACY (NPI 1164587580) is a healthcare organization registered as a community/retail pharmacy in Danielson, Connecticut and active in the NPI registry since December 2006. The organization lists Ravinder Annamaneni, Member, as its authorized official.

NPPES Registry Identity

NPI1164587580
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBONNEVILLE RX LLC
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 OfficialRavinder AnnamaneniMember · (860) 774-9362
Enumeration DateDecember 26, 2006
Last NPPES UpdateSeptember 9, 2013
✔ NPI 1164587580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CT · PCY0000159
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 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.
77 WESTCOTT RD, Danielson, CT 06239
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Other Names 1

Doing Business AsBonneville Pharmacy

Other Identifiers 1

Other2138266Pk

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.

DANIELSON PHARMACY INC
Prosthetic/Orthotic Supplier
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 Bonneville Rx LLC's NPI number?

The NPI number for Bonneville Rx LLC is 1164587580. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Bonneville Pharmacy.

Where is Bonneville Rx LLC located?

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

What is Bonneville Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Bonneville Rx LLC was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.