Equinox Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

0380003389 Issued in VT

Legal business name

EQUINOX COMPOUNDING PHARMACY

Doing business as

EQUINOX COMPOUNDING PHARMACY

Practice address

34B Ways LN
Manchester Center, VT 05255-9231

Phone

(802) 367-1096

Fax

(802) 367-1098

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Philip O Neill

Title

President

Phone

(802) 442-5602

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EQUINOX COMPOUNDING PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1497939110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052010737",
            "telephone_number": "802-442-5602",
            "fax_number": "802-442-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34B WAYS LN",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559231",
            "telephone_number": "802-367-1096",
            "fax_number": "802-367-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "O NEILL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-442-5602"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "VT",
            "license": "0380003389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014827",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EQUINOX COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Counseling for Solutions, LLC
• Catherine Cusack, LCSW
• Roseanne Marie Dennan, DC
• John Michael Diblasio, PT, DPT, MPT
• Michael Dreiblatt, LMHC
• Equinox Dental PLC
• Eric R Nisenson
• Carlie Michelle Felion, FNP, PMHNP
• Susan Flanagan, CCC/SLP
• Pamela Louise Fletcher Maine, PT

• Compounding Pharmacy in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Compounding Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.