Vincents Rexall Drugs Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

0380001098 Issued in VT

Legal business name

VINCENTS REXALL DRUGS INC

Doing business as

Vincents Drug and Variety

Practice address

80 South Main St
Waterbury, VT 05676-0059

Phone

(802) 244-8458

Fax

(802) 244-1108

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John William Vincent, REGISTERED PHARMACIS

Title

President

Phone

(802) 244-8458

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vincents Drug and Variety Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497807069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056760059",
            "telephone_number": "802-244-8458",
            "fax_number": "802-244-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOUTH MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056760059",
            "telephone_number": "802-244-8458",
            "fax_number": "802-244-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENTS REXALL DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-244-8458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VT",
            "license": "0380001098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4701098",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007110",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vincents Drug and Variety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.