Organization Active NPI

John M Bove

Doing business as Gericare Pharmacy

  • Pharmacy
  • Mendon, VT
National Provider Identifier
1780639633
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
038-0003319 Issued in VT
Legal business name
JOHN M BOVE
Doing business as
Gericare Pharmacy
Practice address
17 Mendon View Drive
Gericare
Mendon, VT 05701
Phone
(802) 773-3888
Fax
(802) 775-7400
NPI assigned
May 22, 2006
Reactivated
Aug 4, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Patricia M. Abatiell-Bove, RPHNPI 1295773018
Title
Pharmacist Manager
Phone
(802) 773-3888

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 038-0003319 VT
Pharmacy 333600000X 038-0003319 VT Primary
Community/Retail Pharmacy 3336C0003X 038-0003319 VT
Long Term Care Pharmacy 3336L0003X 0380003319 VT

Addresses

Primary practice location

17 Mendon View Drive
Gericare
Mendon, VT 05701

Mailing address

PO Box 1852
Station a, Gericare
Rutland, VT 05701-1852
Phone (802) 773-3888

Other identifiers 5

IdentifierTypeStateIssuer
038-0003319OtherVTPHARMACY LIC
1007643MedicaidVT
038-0003319OtherVTPHARMACY LICENSE
4703799OtherNCPDP
47-03799OtherNCPDP NUMBER

Other names 1

  • Gericare Pharmacy Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780639633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1852",
            "address_2": "STATION A, GERICARE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057011852",
            "telephone_number": "802-773-3888",
            "fax_number": "802-775-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MENDON VIEW DRIVE",
            "address_2": "GERICARE",
            "city": "MENDON",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-773-3888",
            "fax_number": "802-775-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M BOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-03-07",
        "deactivation_date": "2008-06-10",
        "reactivation_date": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ABATIELL-BOVE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "802-773-3888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": "038-0003319",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VT",
            "license": "038-0003319",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "038-0003319",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VT",
            "license": "0380003319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LIC",
            "identifier": "038-0003319",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007643",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "038-0003319",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4703799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "47-03799",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gericare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendon, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.