Greater Falls Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Bellows Falls, VT
NPI 1336200401 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1336200401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- GREATER FALLS PHARMACY, INC.
- Practice address
- 78 Atkinson Street
Bellows Falls, VT 05101 - Phone
- (802) 460-2634
- Fax
- (802) 460-2296
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Michelle L. Laurendeau
- Title
- Owner/President
- Phone
- (802) 460-2634
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140304002023 | VT | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496962508 | Practice locations: Bellows Falls, VT |
National Provider Directory
Locations
78 Atkinson St
Bellows Falls, VT 05101
Phone (802) 428-4023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
78 Atkinson Street
Bellows Falls, VT 05101
Mailing address
78 Atkinson Street
Bellows Falls, VT 05101
Phone (802) 460-2634
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101724 | Other | PK | |
| 3070632 | Medicaid | NH | |
| 1010329 | Medicaid | VT |
Other names
- Greater Fallls Pharmacy
Other providers in Bellows Falls, VT
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- Fall Mountain Pharmacy, LLC
- Front Line Foundations of North America, Inc
- Hope Gahan
- Samantha J Gurney
- H & B Lefevre EMS
- Eliot R Hall
- Margaret M Hannigan
- Health Care & Rehabilitaion Services
All providers in Bellows Falls, VT · Community/Retail Pharmacy in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.