Active NPI
Nicholas Ireland
- Pharmacist
- Waterbury, VT
National Provider Identifier
1861202392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0330135543
- Practice address
- 820 Waterbury Stowe Rd
Waterbury, VT 05676 - Phone
- (802) 241-4115
- NPI assigned
- Jan 8, 2025
- Last updated
- Jan 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0330135543 | VT | Primary |
Addresses
Primary practice location
820 Waterbury Stowe Rd
Waterbury, VT 05676
Mailing address
114 Dylan Ave
Colchester, VT 05446-8188
Phone (207) 447-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0330135543 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shaws Pharmacy #0649
- Community/Retail Pharmacy
- Waterbury, VT
- NPI 1952357329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1861202392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 DYLAN AVE",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054468188",
"telephone_number": "207-447-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 WATERBURY STOWE RD",
"city": "WATERBURY",
"state": "VT",
"postal_code": "05676",
"telephone_number": "802-241-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELAND",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "0330135543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.