SOUTH HERO PHARMACY LLC (NPI# 1790866010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790866010 |
| Entity Type | Organization |
| Organization Name | SOUTH HERO PHARMACY LLC |
| Other Organization Name | SOUTH HERO PHARMACY |
| Practice Address |
334 Us Route 2 South Hero VT 05486 |
| Mailing Address |
Po Box 277 334 Us Route 2 South Hero VT 05486 |
| Practice Telephone | 8023725377 |
| Practice Fax Number | 8023725638 |
| Mailing Telephone | 8023725377 |
| Mailing Fax Number | 8023725638 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | AUDREY MCGREGOR REARDON (PRES) |
| Authorized Official Telephone | 8026553544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0380003129 | VT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4703129 | 01 | |
| VT | 0007138 | 05 |
| Other Name | Type Code |
|---|---|
| South Hero Pharmacy | Doing Business As Name - Organization |
| Street Address |
334 US ROUTE 2 |
| City | SOUTH HERO |
| State | VT |
| Zip Code | 05486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811329352 | Julia Dawn Clements | Licensed Practical Nurse | 28 Whipple Road, Blanchard Residence, South Hero, VT 05486 | 2013-08-07 |
| 1689006389 | Linda Ann Rundstrom | Licensed Practical Nurse | 38 Whipple Road, Blanchard Residence, South Hero, VT 05486 | 2013-08-05 |
| 1578882825 | Michelle Godwin | Pharmacist | 334 Rt 2, South Hero, VT 05486 | 2010-05-26 |
| 1063589851 | David W Hobbs | Emergency Medicine | 564 Us Rt #2, South Hero, VT 05486 | 2006-11-29 |
| 1538469473 | Michael Lee Chapman | Licensed Practical Nurse | 38 Whipple Rd, Blanchard Res., South Hero, VT 05486 | 2010-10-26 |
| 1699857920 | Janine Cerra-bellinghiri | Physical Therapist | 323 Route 2, South Hero, VT 05486-4213 | 2006-10-19 |
| 1295141919 | Remedies Pharmacy LLC | Pharmacy | 308 Route 2, South Hero, VT 05486-4216 | 2014-07-02 |
| 1578683561 | Cynthia M Senical | Registered Nurse | 90 Lombard Ln, South Hero, VT 05486-4302 | 2007-03-31 |
| 1821564527 | Nicholas Weckstein | Registered Nurse | 90 Lombard Ln, South Hero, VT 05486-4302 | 2018-10-19 |
| 1619183746 | Pamela Jane Goodrich | Licensed Practical Nurse | 90 Lombard Ln, South Hero, VT 05486-4302 | 2007-05-15 |
| Find all providers in zip 05486 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295141919 | Remedies Pharmacy LLC | Pharmacy | 308 Route 2, South Hero, VT 05486-4216 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602335 | Walgreen Co | Pharmacy | 621 Route 22a N, Fair Haven, VT 05743-9239 | 2017-07-25 |
| 1316374002 | Vermont Cvs Pharmacy LLC | Pharmacy | 1634 Us Route 302, Barre, VT 05641-2322 | 2013-09-26 |
| 1184057382 | Jolly Bee Partners Dba Putney Pharmacy | Pharmacy | 4 Kimball Hill Road, Putney, VT 05346-0508 | 2013-08-12 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1427331784 | Kph Healthcare Services, Inc. | Pharmacy | 10212 Route 116, Hinesburg, VT 05461-9725 | 2011-09-23 |
| 1235443441 | Montpelier Pharmacy Inc | Pharmacy | 413 Canal St, Brattleboro, VT 05301-6619 | 2010-07-29 |
| 1831417690 | Kph Healthcare Services, Inc. | Pharmacy | 151 Vermont Route 12 South, Randolph, VT 05060-9237 | 2010-05-04 |
| 1316195969 | Pharmacy Network | Pharmacy | 158 Brentwood Dr, Ste 7, Colchester, VT 05446-7994 | 2008-09-08 |
| 1215135702 | Kph Healthcare Services, Inc. | Pharmacy | 407 Broad St, Lyndonville, VT 05851-5600 | 2007-07-05 |
| 1144428632 | Kph Healthcare Services, Inc. | Pharmacy | 957 Memorial Dr, Saint Johnsbury, VT 05819-9238 | 2007-07-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HERO |
| Zip Code | 05486 |
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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.