My Fair Haven Pharmacy LLC
NPI 1568839876 · Community/Retail Pharmacy · New Haven, CT
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
My Fair Haven Pharmacy LLC is a Community/Retail Pharmacy organization in New Haven, CT (NPI 1568839876).
Provider details
- NPI number
- 1568839876
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Manthena Varma, Member(203) 498-3479
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Fair Haven Pharmacy
Registry dates
- Enumerated
- 2015-08-24
- Last updated
- 2016-04-01
Frequently asked questions
- What is My Fair Haven Pharmacy LLC's NPI number?
- My Fair Haven Pharmacy LLC's National Provider Identifier (NPI) is 1568839876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Fair Haven Pharmacy LLC?
- My Fair Haven Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is My Fair Haven Pharmacy LLC located?
- My Fair Haven Pharmacy LLC's practice location on file with NPPES is 72 Grand Ave, New Haven, CT 06513.
- What is My Fair Haven Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for My Fair Haven Pharmacy LLC is (203) 498-3479.
- Does My Fair Haven Pharmacy LLC accept Medicare?
- My Fair Haven Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for My Fair Haven Pharmacy LLC?
- The authorized official listed on My Fair Haven Pharmacy LLC's NPPES record is Manthena Varma, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Fair Haven Pharmacy LLC's NPI active?
- Yes — My Fair Haven Pharmacy LLC's NPI (1568839876) is active in the NPPES registry as of the last update on 2016-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.