Black Rock Pharmacy LLC
Black Rock Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Fairfield, CT, holding Type 2 (organization) NPI 1295209773 since 2019. The authorized official on file is Kenneth Lee, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295209773 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Black Rock Pharmacy LLC |
| Practice address | 1838 BLACK ROCK TPKE, Fairfield, CT, 06825 |
| Phone | 9175321285 |
| Enumeration date | 2019-01-17 |
| Last updated in NPPES | 2019-01-17 |
Authorized official
| Name | Kenneth Lee |
|---|---|
| Title | Owner |
| Phone | 9175321285 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2386 | Other | CT | PHARMACY LICENSE |
Copy-ready billing details
Provider: Black Rock Pharmacy LLC NPI: 1295209773 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1838 BLACK ROCK TPKE, Fairfield, CT, 06825
Verify this record
Cross-check NPI 1295209773 against the authoritative CMS record: view Black Rock Pharmacy 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
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Where is Black Rock Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-01-17.