Pharmacy Health Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

038.0003399 Issued in VT

Legal business name

PHARMACY HEALTH SERVICES INC

Practice address

187 Main St
Vergennes, VT 05491-1117

Phone

(802) 877-1190

Fax

(802) 877-1197

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Diane Gray, RPH

Title

Coo

Phone

(802) 388-1575

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARBLE WORKS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Pharmacy Health Services Inc

  • Community/Retail Pharmacy
  • Middlebury, VT
  • NPI 1134184948

  O20090210000187

  Same enrollment
• Pharmacy Health Services Inc

  • Community/Retail Pharmacy
  • Bristol, VT
  • NPI 1821359282

  O20090210000187

  Same enrollment

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1124194881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911117",
            "telephone_number": "802-877-1190",
            "fax_number": "802-877-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911117",
            "telephone_number": "802-877-1190",
            "fax_number": "802-877-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "802-388-1575",
        "authorized_official_credential": "RPH"
    },
    "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": "038.0003399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005172",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARBLE WORKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leila Menard McVeigh
• Erin O'Brien, NP
• Oas, LLC
• Joel E Palmer, D.C.
• Kimberly O'Boyle Palmer, D.C.
• Mary Ellen Piela
• Porter Hospital Dba Vergennes Family Health Center
• Porter Hospital Inc
• Porter Hospital Inc
• Progress and Growth Center, LLC

• Community/Retail Pharmacy in Vergennes, VT
• Providers in Vergennes, 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 Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.