Unknown Individual – Home Infusion Therapy Pharmacy, NPI 1073623633

Unknown Individual is a healthcare provider. based in Windsor, Connecticut. specializing in Home Infusion Therapy Pharmacy. They hold a License No. 0001360 (CT). The NPI Number for Unknown Individual is 1073623633

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073623633
Phone
(860) 763-7020
Address
100 CORPORATE DR STE 111
Deactivation Date
1 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 100 CORPORATE DR STE 111

    WINDSOR, CT 060952119

    Phone: (860) 763-7020

    Fax: (855) 603-5113

    Type: Location

  • 4100, South Saginaw Street, Flint, Genesee County, Michigan, 48507, United States

    FLINT, MI 485072683

    Phone: (860) 763-7022

    Fax: (855) 603-5113

    Type: Mailing

  • PO BOX 851378

    MINNEAPOLIS, MN 554851378

    Phone: (860) 763-7022

    Type: Mailing

  • 100 CORPORATE DR.

    STE. 111

    WINDSOR, CT 060952119

    Phone: (860) 763-7022

    Fax: (855) 603-5113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06095)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1073623633; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Home Infusion Therapy Pharmacy. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Windsor, Connecticut for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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