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My Fair Haven Pharmacy LLC

Community/Retail Pharmacy in New Haven, CT · enumerated 2015 · authorized official Manthena Varma, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568839876

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Registry record

Entity type Organization (Type 2)
Legal business name My Fair Haven Pharmacy LLC
Other name <Unavail>
Practice address 72 Grand Ave, New Haven, CT, 06513
Phone (203) 498-3479
Fax (203) 498-8000
Enumeration date Aug 24, 2015
Last updated in NPPES Apr 1, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PCY.0002315 (CT) Primary

Authorized official

Name Manthena Varma
Title Member
Phone (203) 498-3479

Other identifiers

Identifier Type State Issuer
008061384 Medicaid CT -
008064135 Other CT MEDICAID DME

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.

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Frequently asked questions

What is the NPI number for My Fair Haven Pharmacy LLC?
The NPI for My Fair Haven Pharmacy LLC is 1568839876, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for My Fair Haven Pharmacy LLC?
NPPES lists Manthena Varma (Member) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-01.