Organization Active NPI

Community Health Centers of the Rutland Region

  • Community/Retail Pharmacy
  • Rutland, VT
National Provider Identifier
1689473399
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Doing business as
Community Health Pharmacy Rutland
Practice address
62 Woodstock Ave
Rutland, VT 05701-3534
Phone
(802) 775-4321
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Ryan Waltzer, PHARMDNPI 1174104723
Title
Pharmacist
Phone
(508) 272-1390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

62 Woodstock Ave
Rutland, VT 05701-3534

Mailing address

420 Grove St Ste 2
Brandon, VT 05733-9062
Phone (802) 465-0011

Other names 1

  • Community Health Pharmacy Rutland Doing business as

National Provider Directory

National Provider Directory

Locations

420 Grove St
Ste 2
Brandon, VT 05733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1689473399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GROVE ST STE 2",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057339062",
            "telephone_number": "802-465-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WOODSTOCK AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013534",
            "telephone_number": "802-775-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "WALTZER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "508-272-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Pharmacy Rutland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.