St Jay Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0380003329 Issued in VT

Legal business name

ST JAY PHARMACY INC

Practice address

41 Main St N.
Wells River, VT 05081-0672

Phone

(802) 757-2244

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Henry StraightNPI 1982769923

Title

Owner

Phone

(802) 757-2244

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• dba Wells River Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Henry Straight, BSRPH

  • Pharmacist
  • Wells River, VT
  • NPI 1982769923
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114082153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050810672",
            "telephone_number": "802-757-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAIN ST N.",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050810672",
            "telephone_number": "802-757-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAIGHT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-757-2244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "0380003329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008262",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30701654",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Wells River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Little Rivers Health Care, Inc.
• Little Rivers Health Care, Inc.
• Sarah E. Metz, LICSW
• Alison Jamie O'Connor, ARNP
• Payton Chiropractic Center, Inc.
• Dennis Henry Straight, BSRPH
• Jessica Lyn Tremblay
• Tiffany Marie White, LICSW,AAP

• All providers in Wells River, VT
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.