Provider Demographics
NPI:1366865990
Name:UNITY PHARMACY LLC
Entity Type:Organization
Organization Name:UNITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAGA
Authorized Official - Middle Name:ARITA
Authorized Official - Last Name:MULPURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-955-1781
Mailing Address - Street 1:1326 POST RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6012
Mailing Address - Country:US
Mailing Address - Phone:203-955-1781
Mailing Address - Fax:203-955-1782
Practice Address - Street 1:1326 POST RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6012
Practice Address - Country:US
Practice Address - Phone:203-955-1781
Practice Address - Fax:203-955-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CTPCY00022823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0723418OtherNCPDP
CT7146760001Medicare NSC