Organization Active NPI

Tes Drug, Inc.

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Barre, VT
National Provider Identifier
1801830401
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3352 Issued in VT
Legal business name
TES DRUG, INC.
Doing business as
Medicine Shoppe
Practice address
20 S Main St
Barre, VT 05641-4826
Phone
(802) 479-3381
NPI assigned
Jun 15, 2006
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
Mr. Eric Moore
Title
Owner
Phone
(802) 479-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3352 VT Primary

Addresses

Primary practice location

20 S Main St
Barre, VT 05641-4826

Mailing address

20 S Main St
Barre, VT 05641-4826

Other identifiers 2

IdentifierTypeStateIssuer
4702494OtherVTNCPDP #
1012736MedicaidVT

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

20 S Main St
Barre, VT 05641
Phone (802) 476-7607

20 S Main St
#1
Barre, VT 05641
Phone (802) 479-3381

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801830401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414826",
            "telephone_number": "802-479-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TES DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-479-3381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4702494",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012736",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barre, 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.