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PEQUOT HEALTH CARE
NPI 1578886461
Pharmacy - Mail Order Pharmacy in Mashantucket, CT

Active since March 05, 2010
1 ANNIE GEORGE DR, BLDG 1, MASHANTUCKET, CT 06338(860) 396-6438(800) 779-6329 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pequot Health Care NPPES

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

PEQUOT HEALTH CARE (NPI 1578886461) is a healthcare organization registered as a mail order pharmacy in Mashantucket, Connecticut and active in the NPI registry since March 2010. The organization lists Edward Moldenhauer, Director Of Pharmacy Operation, as its authorized official.

NPPES Registry Identity

NPI1578886461
Entity TypeOrganization
Primary Taxonomy3336M0002X
Legal Business NameMASHANTUCKET PEQUOT TRIBAL
Location Address1 ANNIE GEORGE DR, BLDG 1Mashantucket, CT 06338-3801
Mailing Address1 Annie George Dr, Po Box 3559Mashantucket, CT 06338-3801 · (860) 396-2058 · Fax (860) 396-6212
Phone(860) 396-6438
Fax(800) 779-6329
Organization SubpartNo
Authorized OfficialEdward MoldenhauerDirector Of Pharmacy Operation · (860) 396-2058
Enumeration DateMarch 5, 2010
Last NPPES UpdateApril 1, 2011
✔ NPI 1578886461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Mail Order PharmacySuppliers
Taxonomy Code3336M0002X
License✔ Licensed in CT · 285960015
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
1 ANNIE GEORGE DR, Mashantucket, CT 06338
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Other Names 1

Doing Business AsPequot Health Care

Other Identifiers 2

Medicaid004129210CT
Other0721820Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 8

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

MASHANTUCKET PEQUOT TRIBAL
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (860) 396-6438
CAROL LEA OURS RPH, AEC
Pharmacist
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (888) 779-6362
JENNIFER MCCUE RPH
Pharmacist
1 ANNIE GEORGE DR, BLDG 1
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (860) 396-6438
TIMOTHY J POOLE PHARMD
Pharmacist
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (888) 779-6362
MRS. AMY D RICUPERO RPH, MED
Pharmacist
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (888) 779-6362
CATHERINE ANN KOIVISTO RPH
Pharmacist
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (888) 779-6362
MILLIE WHITE
Pharmacist
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (888) 779-6362
CARLA O'DONNELL RPH
Pharmacist
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338
Southeastern Connecticut Planning Region (860) 396-6430

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 Mashantucket Pequot Tribal's NPI number?

The NPI number for Mashantucket Pequot Tribal is 1578886461. It was assigned to this organization in the NPPES registry on March 5, 2010. The provider is doing business as Pequot Health Care.

Where is Mashantucket Pequot Tribal located?

Mashantucket Pequot Tribal is located at 1 Annie George Dr Bldg 1, Mashantucket, CT 06338. The listed phone number is (860) 396-6438.

What is Mashantucket Pequot Tribal's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Mail Order Pharmacy, with taxonomy code 3336M0002X.

When was this NPI record last updated?

The NPPES record for Mashantucket Pequot Tribal was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.