RIVER STREET PHARMACY INC (NPI# 1093075145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093075145 |
| Entity Type | Organization |
| Organization Name | RIVER STREET PHARMACY INC |
| Other Organization Name | RIVER STREET PHARMACY INC. |
| Practice Address |
100 River St Unit 203 Springfield VT 05156-2930 |
| Practice Telephone | 8028856800 |
| Practice Fax Number | 8028856804 |
| Mailing Telephone | 8028856800 |
| Mailing Fax Number | 8028856804 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | JASON HOCHBERG (OWNER) |
| Authorized Official Telephone | 8027752545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
038.0087228 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1021209 | 05 | |
| PK | 2135636 | 01 |
| Other Name | Type Code |
|---|---|
| River Street Pharmacy Inc. | Doing Business As Name - Organization |
| Street Address |
100 RIVER ST UNIT 203 |
| City | SPRINGFIELD |
| State | VT |
| Zip Code | 05156-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350132 | Khalid Muneer Husain | Internal Medicine | 100 River St, Springfield, VT 05156-2930 | 2005-10-17 |
| 1144870122 | Brittany Gubinski | Physician Assistant | 100 River St, Springfield, VT 05156-2930 | 2019-09-12 |
| 1841775988 | Janie Elizabeth Castillo | Physical Therapy Assistant | 100 River St, Springfield, VT 05156-2930 | 2018-09-25 |
| 1831540731 | Jamis Leeper | Nurse Practitioner | 100 River St, Springfield, VT 05156-2930 | 2016-06-22 |
| 1639535420 | Angela Trauth | Social Worker | 100 River St, Springfield, VT 05156-2930 | 2016-01-08 |
| 1558737056 | Kristin Elizabeth Amelia Morgan | Registered Nurse | 100 River St, Springfield, VT 05156-2930 | 2015-08-19 |
| 1013308642 | Tammy Warren | Nurse Practitioner | 100 River St, Springfield, VT 05156-2930 | 2015-02-18 |
| 1235548678 | Kevin Hill | Physical Therapist | 100 River St, Springfield, VT 05156-2930 | 2014-08-11 |
| 1053745562 | Maureen Shattuck | Registered Nurse | 100 River St, Springfield, VT 05156-2930 | 2013-09-03 |
| 1992073191 | Springfield Medical Care Systems Inc | Clinic/Center | 100 River St, Springfield, VT 05156-2930 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790282580 | Meghan Elizabeth Thomas | Specialist/Technologist | 6 Lincoln St, Springfield, VT 05156 | 2018-04-09 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1528443405 | Dan Ciobanu | Dentist | 700 Charlestown Rd., Springfield, VT 05156 | 2015-07-21 |
| 1871869479 | L & M Family Care Givers Inc | Home Health | 365 Summer Street, Suite 204b, Springfield, VT 05156 | 2012-03-28 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1780700609 | James Rizzo | Chiropractor | 160 Wall Street, Springfield, VT 05156 | 2007-03-22 |
| 1023186202 | Theodore Bennett Robbins | Psychiatry & Neurology | 197 Union Street, Springfield, VT 05156 | 2006-12-04 |
| 1225103534 | Katherine M Duhamel | Counselor | 107 Park Street, Springfield, VT 05156 | 2006-11-21 |
| 1306911615 | Meghen Anne Clancy | Clinical Nurse Specialist | Health Care and Rehabilitation Center, 107 Park St, Springfield, VT 05156 | 2006-11-21 |
| Find all providers in zip 05156 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1770093122 | Genoa Healthcare, LLC | Pharmacy | 417 Liberty St Ste 1b, Springfield, MA 01104-3739 | 2017-10-11 |
| 1316483266 | Springfield Clinic, LLP | Pharmacy | 900 N 1st St Rm 4066, Springfield, IL 62702-3749 | 2017-01-17 |
| 1194277681 | Grove Professional Pharmacy, Inc | Pharmacy | 1636 S Glenstone Ave Ste 108, Springfield, MO 65804-1512 | 2016-10-31 |
| 1962852012 | Main Sail Enterprises South LLC | Pharmacy | 222 E Primrose St Ste B, Springfield, MO 65807-5233 | 2016-06-20 |
| 1588042816 | Main Sail Enterprises-downtown LLC | Pharmacy | 655 S Campbell Ave, Springfield, MO 65806-2901 | 2015-05-06 |
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1932529716 | Walgreen Co | Pharmacy | 440 E Tampa St Ste 100, Springfield, MO 65806-1131 | 2014-04-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 05156 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.