Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

My Fair Haven Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1568839876

My Fair Haven Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

72 Grand Ave
New Haven, CT 06513
Phone: (203) 498-3479
Fax: (203) 498-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PCY.0002315 (CT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1568839876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manthena Varma — Member · (203) 498-3479
Other names Fair Haven Pharmacy
NPI enumeratedAugust 24, 2015
Last updated in NPPESApril 1, 2016
Mailing address72 Grand Ave, New Haven, CT 06513

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