The Medical Store, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE MEDICAL STORE, LTD.

Practice address

1225 Airport Pkwy
South Burlington, VT 05403-5805

Phone

(802) 864-0908

Fax

(802) 862-6482

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher John Henry

Title

Ceo

Phone

(802) 864-0908

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Medical Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Medical Store

  • Durable Medical Equipment & Medical Supplies
  • Barre, VT
  • NPI 1679667323
  NPD tax ID

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669429072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 AIRPORT PKWY",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035805",
            "telephone_number": "802-864-0908",
            "fax_number": "802-862-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AIRPORT PKWY",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035805",
            "telephone_number": "802-864-0908",
            "fax_number": "802-862-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL STORE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-864-0908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007039",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna Bradley Thach, M.D.
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• The Connected Self, LLC
• The Mane House
• Theodorou Dental Partners LLC
• Amy Thibault, M.D.
• Tania Thomas, CNM
• Julie Anne Stanitis Thompson, DO
• Tamara Rita Thompson, MSW, LCSW

• Durable Medical Equipment & Medical Supplies in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Durable Medical Equipment & Medical Supplies 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.