Organization Active NPI

Manchester Pharmacy

  • Community/Retail Pharmacy
  • Manchester Center, VT
National Provider Identifier
1114196979
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0380003390 Issued in VT
Legal business name
MANCHESTER PHARMACY
Practice address
1009 Depot St
Manchester Center, VT 05255-9731
Phone
(802) 366-1414
Fax
(802) 366-1155
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Steven Hochberg, RPH
Title
VP
Phone
(802) 366-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0380003390 VT Primary

Addresses

Primary practice location

1009 Depot St
Manchester Center, VT 05255-9731

Mailing address

PO Box 2188
Manchester Center, VT 05255-2188
Phone (802) 366-1414

Other identifiers 1

IdentifierTypeStateIssuer
4704272OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MANCHESTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1114196979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052552188",
            "telephone_number": "802-366-1414",
            "fax_number": "802-366-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 DEPOT ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559731",
            "telephone_number": "802-366-1414",
            "fax_number": "802-366-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "HOCHBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "802-366-1414",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "0380003390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4704272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANCHESTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.