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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GAYLORD HOSPITAL, INC.
NPI 1508051921
Pharmacy - Institutional Pharmacy in Wallingford, CT

Active since September 10, 2007CLIA Certified · 2 labs
50 GAYLORD FARM RD, WALLINGFORD, CT 06492(203) 284-2800 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gaylord Hospital, Inc. NPPES

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

GAYLORD HOSPITAL, INC. (NPI 1508051921), doing business as Gaylord Hospital Pharmacy, is a healthcare organization registered as an institutional pharmacy in Wallingford, Connecticut and active in the NPI registry since September 2007. The organization holds 2 active CLIA laboratory certificates and lists Michael Eldon Ivy, Cmo, as its authorized official.

NPPES Registry Identity

NPI1508051921
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameGAYLORD HOSPITAL, INC.
Location Address50 GAYLORD FARM RDWallingford, CT 06492-2899
Mailing Address50 Gaylord Farm RdWallingford, CT 06492-2828 · (203) 284-2800 · Fax (203) 284-2998
Phone(203) 284-2800
Organization SubpartNo
Authorized OfficialMichael Eldon IvyCmo · (203) 284-2802
Enumeration DateSeptember 10, 2007
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1508051921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in CT · CSP.0012032
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
50 GAYLORD FARM RD, Wallingford, CT 06492
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Other Names 1

Doing Business AsGaylord Hospital Pharmacy

Other Identifiers 1

Other1999529Pk

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0901347

Gaylord Hospital · Wallingford, CT
Active · expires May 22, 2027
CLIA Number07D0901347
Laboratory TypeHospital
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorMichael Ivy
Laboratory Phone(203) 284-2800
Laboratory LocationGaylord HospitalGaylord Farm Road, Wallingford, CT 06492
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 07D0097974

Gaylord Hospital Pulmonary Laboratory · Wallingford, CT
Active · expires Jan 2, 2027
CLIA Number07D0097974
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Jeffrey Nascimento
Laboratory Phone(203) 679-3539
Laboratory LocationGaylord Hospital Pulmonary LaboratoryGaylord Farms Rd, Wallingford, CT 06492
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

ANG ZHANG D.O.
Internal Medicine
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 688-1734
IRENE SCANLON LCSW
Social Worker (Clinical)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 741-3413
AMANDA SCHOLL LCSW
Social Worker (Clinical)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-2734
KATEY ELIZABETH GREEN APRN
Nurse Practitioner
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-2800
COURTNEY P RAYNOR APRN
Nurse Practitioner (Psychiatric/Mental Health)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-2800
GINA M SMITH APRN
Nurse Practitioner (Psychiatric/Mental Health)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-2800
DR. NESLYNE BELINDA AUGUSTIN MD
Internal Medicine
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-2800
PRAKASH KANDEL M.D
Internal Medicine
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-2800

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 Gaylord Hospital, Inc.'s NPI number?

The NPI number for Gaylord Hospital, Inc. is 1508051921. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Gaylord Hospital Pharmacy.

Where is Gaylord Hospital, Inc. located?

Gaylord Hospital, Inc. is located at 50 Gaylord Farm Rd, Wallingford, CT 06492. The listed phone number is (203) 284-2800.

What is Gaylord Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Gaylord Hospital, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gaylord Hospital, Inc. was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.