NPIMap

Organization Active NPI

Golub Corporation

  • Community/Retail Pharmacy
  • Burlington, VT
National Provider Identifier
1083727002
Registry record updated Jul 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
380002951 Issued in VT
Legal business name
GOLUB CORPORATION
Practice address
595 Shelburne Rd
Burlington, VT 05401-5050
Phone
(802) 651-9835
Fax
(802) 651-9838
NPI assigned
Aug 16, 2006
Last updated
Jul 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Guisinger
Title
VP of Pharmacy
Phone
(518) 379-1618

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 380002951 VT Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

595 Shelburne Rd
Burlington, VT 05401-5050

Mailing address

461 Nott St
MB#202
Schenectady, NY 12308-1812
Phone (518) 379-1618

Other identifiers 2

IdentifierTypeStateIssuer
1003856MedicaidVT
2101493OtherPK

Other names 1

  • GOLUB CORPORATION Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091203000225 VT Part B Supplier - Mass Immunization (Roster Biller Only) 8527107630 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bennington, VT; Burlington, VT; Essex Junction, VT; Rutland, VT; Saint Albans, VT
O20100930015263 VT DME Supplier - Pharmacy 7911059183 Practice locations: Burlington, VT

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Golub Corporation595 Shelburne Rd, Burlington, VT 05401-5050(802) 651-9835 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies Accepts assignmentParticipating since Mar 29, 2000

National Provider Directory

National Provider Directory
Tax ID family
Price Chopper Operating Co of Vermont Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 30)

141 Sanford Farms Shopping Ctr
Amsterdam, NY 12010
Phone (518) 843-8332

320 W Bridge St
Catskill, NY 12414
Phone (518) 943-3909

2614 Route 66
Chatham, NY 12037
Phone (518) 392-5305

2614 Route 66
#246
Chatham, NY 12037
Phone (518) 392-5305

15 Park Ave
Clifton Park, NY 12065
Phone (518) 373-8378

105 Plaza Ln
Cobleskill, NY 12043
Phone (518) 234-2528

1001 North St
#11
Endicott, NY 13760
Phone (607) 748-8270

1001 North St
Ste 12
Endicott, NY 13760
Phone (607) 748-8270

354 Broadway
Fort Edward, NY 12828
Phone (518) 832-6238

2080 Western Ave
Guilderland, NY 12084
Phone (518) 724-6752

351 Fairview Ave
Hudson, NY 12534
Phone (518) 283-6111

241N Comrie Ave
Johnstown, NY 12095
Phone (518) 736-2426

3863 State Route 31
Liverpool, NY 13090
Phone (315) 622-6020

1 Kendall Way
Malta, NY 12020
Phone (518) 899-6063

511 Schutt Road Ext
Middletown, NY 10940
Phone (845) 344-0327

4535 Commercial Dr
New Hartford, NY 13413
Phone (315) 272-8607

2981 Ford Street Ext
Ogdensburg, NY 13669
Phone (315) 541-1181

2981 Ford Street Ext
Ste 9
Ogdensburg, NY 13669
Phone (315) 393-7153

142 Genesee St
Oneida, NY 13421
Phone (315) 363-7856

137 State Route 104
Oswego, NY 13126
Phone (315) 342-5700

1717 Black River Blvd N
Rome, NY 13440
Phone (315) 339-0648

1790 Black River Blvd N
Rome, NY 13440
Phone (315) 337-3559

3045 Route 50
Saratoga Springs, NY 12866
Phone (518) 583-3697

3049 Rte 50
Saratoga Springs, NY 12866
Phone (518) 583-3697

2515 Erie Blvd E
Syracuse, NY 13224
Phone (315) 449-1016

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690588800000",
    "number": "1083727002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NOTT ST",
            "address_2": "MB#202",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081812",
            "telephone_number": "518-379-1618",
            "fax_number": "518-356-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015050",
            "telephone_number": "802-651-9835",
            "fax_number": "802-651-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLUB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "GUISINGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "518-379-1618"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "380002951",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003856",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLUB CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.