OrganizationActive
Fair Haven Community Health Clinic Inc.
NPI 1467343913 · Community/Retail Pharmacy · New Haven, CT
Fair Haven Community Health Clinic Inc. is a Community/Retail Pharmacy organization in New Haven, CT (NPI 1467343913).
Provider details
- NPI number
- 1467343913
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bain Patrie, Credentialing Manager(203) 777-7411
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
111 Grand Ave
New Haven, CT 06513-3907
Phone: (203) 777-7411
Street-level locationGet directions
Mailing address
111 Grand Ave
New Haven, CT 06513-3907
Other names (DBA / former)
- Doing business as
- Grand Pharmacy 111
Registry dates
- Enumerated
- 2025-07-14
- Last updated
- 2025-07-14
- Certified
- 2025-07-13
Frequently asked questions
- What is Fair Haven Community Health Clinic Inc.'s NPI number?
- Fair Haven Community Health Clinic Inc.'s National Provider Identifier (NPI) is 1467343913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fair Haven Community Health Clinic Inc.?
- Fair Haven Community Health Clinic Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fair Haven Community Health Clinic Inc. located?
- Fair Haven Community Health Clinic Inc.'s practice location on file with NPPES is 111 Grand Ave, New Haven, CT 06513-3907.
- What is Fair Haven Community Health Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fair Haven Community Health Clinic Inc. is (203) 777-7411.
- Who is the authorized official for Fair Haven Community Health Clinic Inc.?
- The authorized official listed on Fair Haven Community Health Clinic Inc.'s NPPES record is Bain Patrie, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fair Haven Community Health Clinic Inc.'s NPI active?
- Yes — Fair Haven Community Health Clinic Inc.'s NPI (1467343913) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.