OrganizationActive
Cvs/Pharmacy
NPI 1699124057 · Community/Retail Pharmacy · Waterbury, CT
Provider details
- NPI number
- 1699124057
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Montanna Paulhus, Pharmacy Manger(603) 455-4312
- License
- 0012919 (CT)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
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
1279 W Main St
Waterbury, CT 06708-3101
Phone: (203) 755-5490
Street-level locationGet directions
Mailing address
1279 W Main St
Waterbury, CT 06708-3101
Registry dates
- Enumerated
- 2016-06-07
- Last updated
- 2016-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.