Pharmacy Health Services Inc
Organization Active NPI Community/Retail Pharmacy · Bristol, VT
NPI 1821359282 · NPPES record last updated May 18, 2016
Key facts
- NPI
- 1821359282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 038.0088707 (VT)
- Legal business name
- PHARMACY HEALTH SERVICES INC
- Practice address
- 61 Pine St Ste 401
Bristol, VT 05443-1043 - Phone
- (802) 453-2999
- Fax
- (802) 453-4006
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Maria Burns
- Title
- President
- Phone
- (802) 893-5105
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
99 Maple St
Ste 19
Middlebury, VT 05753
Phone (802) 388-3784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 038.0088707 | VT | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135392 | Other | PK | |
| 1021034 | Medicaid | VT |
Other names
- Marble Works Pharmacy
Other providers in Bristol, VT
- Mount Abraham Unified School District
- Mountain Health Center
- Samuel O'Brien
- Thayer Osborne
- Jennifer Ann Oxford
- Porter Hospital Inc
- William Harrison Porter
- Carol Ann Price
- Wendie M Puls
- Mia Queguiner
All providers in Bristol, VT · Community/Retail Pharmacy in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.