Bonneville Rx LLC
Bonneville Rx LLC is a healthcare organization registered as Community/Retail Pharmacy in Danielson, CT, holding Type 2 (organization) NPI 1164587580 since 2006. The authorized official on file is Ravinder Annamaneni, Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164587580 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bonneville Rx LLC |
| Other name | <Unavail> |
| Practice address | 77 WESTCOTT RD, Danielson, CT, 06239 |
| Phone | 8607749362 |
| Fax | 8607792647 |
| Enumeration date | 2006-12-26 |
| Last updated in NPPES | 2013-09-09 |
Authorized official
| Name | Ravinder Annamaneni |
|---|---|
| Title | Member |
| Phone | 8607749362 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | PCY0000159 | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138266 | Other | — | PK |
Copy-ready billing details
Provider: Bonneville Rx LLC NPI: 1164587580 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 77 WESTCOTT RD, Danielson, CT, 06239
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063624922 | Danielson Pharmacy Inc | Organization | Prosthetic/Orthotic Supplier | Danielson, CT |
| 1811425788 | Danielson Pharmacy LLC | Organization | Community/Retail Pharmacy | Danielson, CT |
| 1689231037 | Kyle Mclaughlin | Individual | Pharmacist | Danielson, CT |
| 1831725316 | Danielson Pharmacy LLC | Organization | Long Term Care Pharmacy | Danielson, CT |
| 1508684929 | Clutch Inc | Organization | Community/Retail Pharmacy | Danielson, CT |
| 1801783287 | Clutch Inc | Organization | Long Term Care Pharmacy | Danielson, CT |
Verify this record
Cross-check NPI 1164587580 against the authoritative CMS record: view Bonneville Rx LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bonneville Rx LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-09.