GRAND PHARMACY 111
NPI 1346984838
Pharmacy - Community/Retail Pharmacy in New Haven, CT

Active since April 21, 2022
111 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Sep 16, 2024, May 13, 2024 and 2 more (5 updates tracked since 2022).

About Grand Pharmacy 111 NPPES

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

GRAND PHARMACY 111 (NPI 1346984838) is a healthcare organization registered as a community/retail pharmacy in New Haven, Connecticut and active in the NPI registry since April 2022. The organization lists Bain Patrie, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1346984838
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC INC
Location Address111 GRAND AVENew Haven, CT 06513-3907
Mailing Address221 W Main StBranford, CT 06405-4022 · (203) 871-4188
Organization SubpartNo
Authorized OfficialBain PatrieCredentialing Manager · (203) 777-7411
Enumeration DateApril 21, 2022
Last NPPES UpdateNovember 12, 20245 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1346984838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
111 GRAND AVE, New Haven, CT 06513

Other Names 2

Doing Business AsGrand Pharmacy 111
Doing Business AsFair Haven Community Health Care

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
111 GRAND AVE
NEW HAVEN, CT 06513

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 1346984838. It was assigned to this organization in the NPPES registry on April 21, 2022. The provider is doing business as Grand Pharmacy 111 and Fair Haven Community Health Care.

Where is Fair Haven Community Health Clinic Inc located?

Fair Haven Community Health Clinic Inc is located at 111 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, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Fair Haven Community Health Clinic Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Fair Haven Community Health Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic Inc was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.