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FAIR HAVEN PHARMACY
NPI 1568839876
Pharmacy - Community/Retail Pharmacy in New Haven, CT

Active since August 24, 2015
72 GRAND AVE, NEW HAVEN, CT 06513(203) 498-3479(203) 498-8000 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2016, Feb 19, 2016 (2 updates tracked since 2016).

About Fair Haven Pharmacy NPPES

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

FAIR HAVEN PHARMACY (NPI 1568839876) is a healthcare organization registered as a community/retail pharmacy in New Haven, Connecticut and active in the NPI registry since August 2015. The organization lists Manthena V Varma, Member, as its authorized official.

NPPES Registry Identity

NPI1568839876
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMY FAIR HAVEN PHARMACY LLC
Location Address72 GRAND AVENew Haven, CT 06513
Mailing Address72 Grand AveNew Haven, CT 06513 · (203) 498-3479 · Fax (203) 498-8000
Phone(203) 498-3479
Fax(203) 498-8000
Organization SubpartNo
Authorized OfficialManthena V VarmaMember · (203) 498-3479
Enumeration DateAugust 24, 2015
Last NPPES UpdateApril 1, 20162 updates tracked since enumeration
✔ NPI 1568839876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CT · PCY.0002315
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
72 GRAND AVE, New Haven, CT 06513
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Other Names 1

Doing Business AsFair Haven Pharmacy

Other Identifiers 3

Other008064135CT · Medicaid Dme
Medicaid008061384CT
Medicare NSC7469800001CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 My Fair Haven Pharmacy LLC's NPI number?

The NPI number for My Fair Haven Pharmacy LLC is 1568839876. It was assigned to this organization in the NPPES registry on August 24, 2015. The provider is doing business as Fair Haven Pharmacy.

Where is My Fair Haven Pharmacy LLC located?

My Fair Haven Pharmacy LLC is located at 72 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 498-3479.

What is My Fair Haven Pharmacy LLC's specialty?

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

What insurance does My Fair Haven Pharmacy LLC 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 47 other insurers list My Fair Haven Pharmacy LLC 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 My Fair Haven Pharmacy LLC was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.