FAIR HAVEN COMMUNITY HEALTH CLINIC INC.
NPI 1467343913
Pharmacy - Community/Retail Pharmacy in New Haven, CT

Q: 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.

Active since July 14, 2025

111 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 1467343913), doing business as Grand Pharmacy 111, is a healthcare organization registered as a community/retail pharmacy in New Haven, Connecticut and active in the NPI registry since July 2025. The organization lists Bain Patrie, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1467343913

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC INC.

Location Address111 GRAND AVENew Haven, CT 06513-3907

Mailing Address111 Grand AveNew Haven, CT 06513-3907 · (203) 777-7411

Phone(203) 777-7411

Organization SubpartNo

Authorized OfficialBain PatrieCredentialing Manager · (203) 777-7411

Enumeration DateJuly 14, 2025

NPPES CertifiedJuly 13, 2025

✔ NPI 1467343913 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

Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Pharmacy 111

Other Providers at the Same Location NPPES

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

FAIR HAVEN COMMUNITY HEALTH CLINIC INC

Pharmacy (Community/Retail Pharmacy)

111 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 1467343913. It was assigned to this organization in the NPPES registry on July 14, 2025. The provider is doing business as Grand Pharmacy 111.

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.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic Inc. was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.