River Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

038.0087228 Issued in VT

Legal business name

RIVER STREET PHARMACY INC

Doing business as

River Street Pharmacy Inc.

Practice address

100 River St
Unit 203
Springfield, VT 05156-2930

Phone

(802) 885-6800

Fax

(802) 885-6804

NPI assigned

May 23, 2012

Last updated

Feb 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Hochberg

Title

Owner

Phone

(802) 775-2545

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• River Street Pharmacy Inc. Doing business as

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1093075145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER ST",
            "address_2": "UNIT 203",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562930",
            "telephone_number": "802-885-6800",
            "fax_number": "802-885-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER ST",
            "address_2": "UNIT 203",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562930",
            "telephone_number": "802-885-6800",
            "fax_number": "802-885-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "HOCHBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-775-2545"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "038.0087228",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021209",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Street Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Resseguie Jr., MS
• Diane L. Reynolds, MA, LADC
• Richard a. Lane MD PC (LAne Eye Associates)
• Richard a. Lane MD PC (Northern Eyewear)
• Ridgewood Associates in Internal Medicine
• James Rizzo, DC
• Tammy Robbins
• Theodore Bennett Robbins, MD
• Robert Johns, MD
• Robert Johns, MD PLC

• Community/Retail Pharmacy in Springfield, VT
• Providers in Springfield, VT by specialty
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.