Provider Demographics
NPI:1508855842
Name:FELDMAN INC.
Entity Type:Organization
Organization Name:FELDMAN INC.
Other - Org Name:DRUG CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:203-426-4505
Mailing Address - Street 1:61 CHURCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1614
Mailing Address - Country:US
Mailing Address - Phone:203-426-4505
Mailing Address - Fax:203-270-6320
Practice Address - Street 1:61 CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1614
Practice Address - Country:US
Practice Address - Phone:203-426-4505
Practice Address - Fax:203-270-6320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0200332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5012504OtherCONNPACE
CT5012504OtherCONNPACE