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FAIR HAVEN COMMUNITY HEALTH CLINIC INC
NPI 1306787684
Pharmacy in New Haven, CT

Active since April 02, 2026
374 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fair Haven Community Health Clinic Inc NPPES

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

FAIR HAVEN COMMUNITY HEALTH CLINIC INC (NPI 1306787684) is a healthcare organization registered as a pharmacy in New Haven, Connecticut and active in the NPI registry since April 2026. The organization lists Bain Patrie, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1306787684
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC INC
Location Address374 GRAND AVENew Haven, CT 06513-3733
Mailing Address374 Grand Ave, Grand Pharmacy 374New Haven, CT 06513-3733 · (203) 777-7411
Phone(203) 777-7411
Organization SubpartNo
Authorized OfficialBain PatrieCredentialing Manager · (203) 777-7411
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1306787684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
374 GRAND AVE, New Haven, CT 06513
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Other Providers at the Same Location NPPES 20

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

MRS. AGUSTINA FOUGERE MA LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
REBECCA A BUNNELL PA
Physician Assistant
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
DAIJSIA MELENA BUBB APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
SYDNEY HENCK LCSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
ANASTASIA CAMPOS LMSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
JOEL DANIEL NEWMAN BLUMAN MD
Family Medicine
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
MARK AUSTIN MS, NCC, LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
RACHEL ROMERO APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411

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 Fair Haven Community Health Clinic Inc's NPI number?

The NPI number for Fair Haven Community Health Clinic Inc is 1306787684. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Fair Haven Community Health Clinic Inc located?

Fair Haven Community Health Clinic Inc is located at 374 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 777-7411.

What is Fair Haven Community Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic Inc was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.