OrganizationActive
Charter Oak Health Center Pharmacy
NPI 1396891404 · Federally Qualified Health Center (FQHC) · Hartford, CT
Provider details
- NPI number
- 1396891404
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Charter Oak Health Center Inc.
- Organization subpart
- Yes
- Authorized official
- Tim Powers, Chief Compliance Officer(860) 550-7500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21 Grand St
Hartford, CT 06106-1541
Phone: (860) 550-7500
Fax: (860) 550-7508
Street-level locationGet directions
Mailing address
21 Grand St
Hartford, CT 06106-1541
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.