OrganizationActive
Fair Haven Community Health Clinic, Inc
NPI 1649111931 · Community/Retail Pharmacy · New Haven, CT
Fair Haven Community Health Clinic, Inc is a Community/Retail Pharmacy organization in New Haven, CT (NPI 1649111931).
Provider details
- NPI number
- 1649111931
- 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(53/100 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
374 Grand Ave
New Haven, CT 06513-3733
Phone: (203) 777-7411
Street-level locationGet directions
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Other names (DBA / former)
- Doing business as
- Grand Pharmacy 374
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
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 1649111931, 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 374 Grand Ave, New Haven, CT 06513-3733.
- 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 (1649111931) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.