Provider Demographics
NPI:1295803435
Name:PHARMSCRIPT OF CT LLC
Entity type:Organization
Organization Name:PHARMSCRIPT OF CT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-389-1818
Mailing Address - Street 1:PO BOX 6151
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-6151
Mailing Address - Country:US
Mailing Address - Phone:908-389-1818
Mailing Address - Fax:732-985-5899
Practice Address - Street 1:80 CLARK DR UNIT B
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06023-1157
Practice Address - Country:US
Practice Address - Phone:908-389-1818
Practice Address - Fax:508-281-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0002X, 3336C0004X, 3336I0012X
CTPCY.00018693336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2166134OtherPK
VT1010749Medicaid
NH30703903Medicaid
NJ0049727Medicaid
DC036365200Medicaid
MA0407739Medicaid
MD405644200Medicaid
NY02586065Medicaid
2002590OtherPK
NY02586065Medicaid
MA0407739Medicaid