Organization
JOLLYS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GENESIUS RPH (OWNER)
(203) 245-2704
Entity
Organization
Contact information
Practice address
762 BOSTON POST RD, MADISON, CT 06443-3047
(203) 245-2704
(203) 245-9704
Mailing address
PO BOX 151, MADISON, CT 06443-0151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0725
CT
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704759
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/08/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up