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Fair Haven Community Health Clinic Inc

NPI 1306787684ActiveOrganization· Pharmacy· New Haven, CT

Pharmacy in New Haven, Connecticut, registered in NPPES in April 2026. The authorized official on file is Bain Patrie, Credentialing Manager.

Overview

NPI1306787684
StatusActive
Entity typeOrganization
NPI issuedApr 2, 2026
Last updated in NPPESApr 2, 2026
Certified by providerApr 2, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in New Haven

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