Active NPI
Maxwells Pharmacy Inc
- Long Term Care Pharmacy
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MAXWELLS PHARMACY INC
- Practice address
- 242 Pearl St
Burlington, VT 05401-8532 - Phone
- (802) 862-1491
- Fax
- (802) 865-2208
- NPI assigned
- Sep 2, 2021
- Last updated
- Sep 2, 2021
- Organization subpart
- Yes
- Parent organization
- MAXWELLS PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Maxwell
- Title
- President/ Treas.
- Phone
- (802) 862-1562
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
242 Pearl St
Burlington, VT 05401-8532
Mailing address
242 Pearl St
Burlington, VT 05401-8532
Phone (802) 862-1491
Other names 1
- Lakeside Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Maxwells Pharmacy Inc
- Part of
- Maxwells Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Burlington, VT
- NPI 1013367028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630540800000",
"number": "1558039644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 PEARL ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054018532",
"telephone_number": "802-862-1491",
"fax_number": "802-865-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 PEARL ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054018532",
"telephone_number": "802-862-1491",
"fax_number": "802-865-2208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXWELLS PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAXWELLS PHARMACY INC",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "PRESIDENT/ TREAS.",
"authorized_official_telephone_number": "802-862-1562"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeside Pharmacy LTC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.