Organization Active NPI

Springfield Pharmacy Inc

Doing business as Springfield Pharmacy

  • Community/Retail Pharmacy
  • Springfield, VT
National Provider Identifier
1235168485
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0380003324 Issued in VT
Legal business name
SPRINGFIELD PHARMACY INC
Doing business as
Springfield Pharmacy
Practice address
262 River St
Springfield, VT 05156-2306
Phone
(802) 885-6400
Fax
(802) 885-6415
NPI assigned
Jul 1, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Steve Hochberg
Title
Owner,RPH,Ao
Phone
(802) 775-2545

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0380003324 VT Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

262 River St
Springfield, VT 05156-2306

Mailing address

262 River St
Springfield, VT 05156-2306
Phone (802) 885-6400

Other identifiers 2

IdentifierTypeStateIssuer
2101705OtherPK
1007850MedicaidVT

Other names 1

  • SPRINGFIELD PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003627 VT DME Supplier - PharmacyDME Supplier - Orthotic Personnel 8123230331 Practice locations: Springfield, VT
O20120829000792 VT Part B Supplier - Mass Immunization (Roster Biller Only) 8123230331 Practice locations: Springfield, VT

National Provider Directory

National Provider Directory

Locations

262 River St
Springfield, VT 05156
Phone (802) 885-6400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1235168485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562306",
            "telephone_number": "802-885-6400",
            "fax_number": "802-885-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562306",
            "telephone_number": "802-885-6400",
            "fax_number": "802-885-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HOCHBERG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER,RPH,AO",
        "authorized_official_telephone_number": "802-775-2545"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "0380003324",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101705",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007850",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.