South Hero Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTH HERO PHARMACY LLC

Doing business as

South Hero Pharmacy

Practice address

334 US Route 2
South Hero, VT 05486

Phone

(802) 372-5377

Fax

(802) 372-5638

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Audrey McGregor Reardon

Title

Pres

Phone

(802) 655-3544

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• South Hero Pharmacy Doing business as

Practitioners 2

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

• Riyaz Merali, RPH

  • Pharmacist
  • Winooski, VT
  • NPI 1033415559
  NPD
• Michelle Godwin

  • Pharmacist
  • South Hero, VT
  • NPI 1578882825
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1790866010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "address_2": "334 US ROUTE 2",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "05486",
            "telephone_number": "802-372-5377",
            "fax_number": "802-372-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 US ROUTE 2",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "05486",
            "telephone_number": "802-372-5377",
            "fax_number": "802-372-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HERO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR REARDON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "802-655-3544"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "0380003129",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4703129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007138",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hero Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael E Rapaport, MD
• Wendy L Raymond, LPN
• Remedies Pharmacy LLC
• Linda Ann Rundstrom, LPN
• Cynthia M Senical, R.N.
• South Hero Rescue Inc
• Heather Staudt, LPN
• Holly Michaela Thomas
• Sandra A Thompson Jenkins, LPN
• Wayne F Tyrrell, SC.D.

• Community/Retail Pharmacy in South Hero, VT
• Providers in South Hero, VT by specialty
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.