Stelise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

038-0003335 Issued in VT

Legal business name

STELISE INC

Doing business as

ENOSBURG PHARMACY

Practice address

366 Main St
Enosburg Falls, VT 05450

Phone

(802) 933-9200

Fax

(802) 933-9220

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Comeau

Title

Pharmacist

Phone

(802) 933-9200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ENOSBURG PHARMACY Doing business as

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1225139181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MAIN ST",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "05450",
            "telephone_number": "802-933-9200",
            "fax_number": "802-933-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "COMEAU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "802-933-9200"
    },
    "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": "038-0003335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009134",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENOSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Town of Enosburgh

• Community/Retail Pharmacy in Enosburg Falls, VT
• Providers in Enosburg Falls, 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 Jan 29, 2014; 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.