WILCOX MEDICAL, INC (NPI# 1952417636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952417636 |
| Entity Type | Organization |
| Organization Name | WILCOX MEDICAL, INC |
| Other Organization Name | BIOSCRIP INFUSION SERVICES |
| Practice Address |
217 Woodstock Ave Suite B Rutland VT 05701-3317 |
| Mailing Address |
1600 Broadway Suite 700 Denver CO 80202-4927 |
| Practice Telephone | 8027752808 |
| Practice Fax Number | 8557757824 |
| Mailing Telephone | 7206975171 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-11-18 |
| NPI Deactivation Date | 04/10/2019 |
| NPI Reactivation Date | 2019-11-02 |
| Authorized Official Name | CLIFFORD BERMAN (SR VP, GENERAL COUNSEL, SECRETARY) |
| Authorized Official Telephone | 8008796137 |
| Is Organization Subpart | Y |
| Parent Organization Name | BIOSCRIP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
038-0003391 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1004914 | 05 | |
| NY | LICENSE | 032274 | 01 |
| VT | 1008328 | 05 | |
| VT | LICENSE | 038.0093947-HMIF | 01 |
| Other Name | Type Code |
|---|---|
| BioScrip Infusion Services | Doing Business As Name - Organization |
| Wilcox Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898947 | Wilcox Medical, Inc | Home Infusion | 217 Woodstock Ave Ste B, Rutland, VT 05701-3317 | 2020-10-12 |
| 1487760161 | Wilcox Medical, Inc | Durable Medical Equipment & Medical Supplies | 217 Woodstock Ave, Suite B, Rutland, VT 05701-3317 | 2006-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | WILCOX MEDICAL, INC. | 219 Woodstock Avenue, Rutland, VT 05701 |
| Street Address |
217 WOODSTOCK AVE SUITE B |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487760161 | Wilcox Medical, Inc | Durable Medical Equipment & Medical Supplies | 217 Woodstock Ave, Suite B, Rutland, VT 05701-3317 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336200401 | Greater Falls Pharmacy, Inc. | Pharmacy | 78 Atkinson Street, Bellows Falls, VT 05101 | 2006-12-13 |
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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.