Organization Active NPI

Pharmacy Health Services Inc

Doing business as Marble Works Pharmacy

  • Community/Retail Pharmacy
  • Bristol, VT
National Provider Identifier
1821359282
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
038.0088707 Issued in VT
Legal business name
PHARMACY HEALTH SERVICES INC
Doing business as
Marble Works Pharmacy
Practice address
61 Pine St Ste 401
Bristol, VT 05443-1043
Phone
(802) 453-2999
Fax
(802) 453-4006
NPI assigned
Jun 1, 2012
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Maria Burns
Title
President
Phone
(802) 893-5105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 038.0088707 VT Primary

Addresses

Primary practice location

61 Pine St Ste 401
Bristol, VT 05443-1043

Mailing address

PO Box 69
Middlebury, VT 05753-0069
Phone (802) 458-3100

Other names 1

  • Marble Works Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090210000187 VT Part B Supplier - Mass Immunization (Roster Biller Only) 0749345668 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bristol, VT; Middlebury, VT; Vergennes, VT

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1821359282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057530069",
            "telephone_number": "802-458-3100",
            "fax_number": "802-388-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PINE ST STE 401",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431043",
            "telephone_number": "802-453-2999",
            "fax_number": "802-453-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-893-5105"
    },
    "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": "038.0088707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marble Works Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.