Active NPI
McGrx Inc
- Long Term Care Pharmacy
- Winooski, VT
National Provider Identifier
1073606364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0380003337
- Legal business name
- MCGRX INC
- Doing business as
- MCGREGORS MEDICINE-ON-TIME PHARMACY
- Practice address
- 321 Main St
Suite B
Winooski, VT 05404-1380 - Phone
- (802) 655-3544
- Fax
- (802) 655-0123
- NPI assigned
- Oct 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Reardon
- Title
- Owner
- Phone
- (802) 655-3544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 0380003337 | VT | Primary |
Addresses
Primary practice location
321 Main St
Suite B
Winooski, VT 05404-1380
Mailing address
321 Main St
Suite B
Winooski, VT 05404-1380
Phone (802) 655-3544
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009581 | Medicaid | VT | |
| 410320000 | Medicaid | ME | |
| 30702919 | Medicaid | NH | |
| 2139498 | Other | PK |
Other names 1
- MCGREGORS MEDICINE-ON-TIME PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- South Hero, VT
- NPI 1578882825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365724800000",
"number": "1073606364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"address_2": "SUITE B",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054041380",
"telephone_number": "802-655-3544",
"fax_number": "802-655-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"address_2": "SUITE B",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054041380",
"telephone_number": "802-655-3544",
"fax_number": "802-655-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGRX INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-01",
"last_updated": "2013-04-12",
"status": "A",
"authorized_official_last_name": "REARDON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-655-3544"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "VT",
"license": "0380003337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009581",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410320000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30702919",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2139498",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCGREGORS MEDICINE-ON-TIME PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winooski, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.