VERMONT CVS PHARMACY LLC (NPI# 1790181378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790181378 |
| Entity Type | Organization |
| Organization Name | VERMONT CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10216 |
| Practice Address |
69 Mountain View Dr Colchester VT 05446-5919 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8026540772 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1024304 | 05 | |
| VT | NCPDP | 4704727 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10216 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831542034 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Dorset St, South Burlington, VT 05403-6232 | 2016-07-22 |
| 1407243272 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13 Vermont 15 East, Morrisville, VT 05661 | 2015-04-20 |
| 1285042747 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4730 Us Route 5, Derby, VT 05855-9480 | 2014-07-29 |
| 1316374002 | Vermont Cvs Pharmacy LLC | Pharmacy | 1634 Us Route 302, Barre, VT 05641-2322 | 2013-09-26 |
| 1851642912 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 49 Wright Ave, Williston, VT 05495-4419 | 2012-09-28 |
| 1508214800 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 35 Church St, Burlington, VT 05401-4417 | 2016-05-26 |
| Street Address |
69 MOUNTAIN VIEW DR |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567027 | Charyl Westbay | Pharmacy Technician | 69 Mountain View Dr, Colchester, VT 05446-5919 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124050091 | Stop and Shop Supermarket Co LLC | Pharmacy | 99 Linwood Ave, Colchester, CT 06415-1100 | 2006-07-07 |
| 1437269065 | Costco Wholesale Corporation | Pharmacy | 218 Lower Mountain View Dr, Colchester, VT 05446 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455256 | Genoa Healthcare, LLC | Pharmacy | 72 Harrel St Ste A03, Morrisville, VT 05661-8526 | 2018-01-12 |
| 1497264899 | Chelsea Pharmacy LLC | Pharmacy | 356 Vt-110, Chelsea, VT 05038 | 2017-09-28 |
| 1821359282 | Pharmacy Health Services Inc | Pharmacy | 61 Pine St Ste 401, Bristol, VT 05443-1043 | 2012-06-01 |
| 1023312964 | Ludlow Pharmacy Inc | Pharmacy | 57 Pond St, Ludlow, VT 05149-1083 | 2011-01-07 |
| 1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
| 1366578114 | Kelley Pharmacy Inc | Pharmacy | 42 Timber Ln, South Burlington, VT 05403-7204 | 2007-02-26 |
| 1972648129 | The Drug Store Inc | Pharmacy | Village Square, Suite 7, Waitsfield, VT 05673-0391 | 2007-02-21 |
| 1124166624 | Jo-mar Inc. | Pharmacy | 921 Us Rt 302, Barre, VT 05641-4465 | 2007-02-05 |
| 1427112861 | University of Vermont Medical Center Inc | Pharmacy | 111 Colchester Ave # Mp3, Burlington, VT 05401-1473 | 2006-12-20 |
| 1669549150 | Browns Drug Store | Pharmacy | 40 Main, Derby Line, VT 05830 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
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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.