Active NPI
Redeat Mekuria
- Pharmacist
- Waterbury, VT
National Provider Identifier
1881516102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0136112
- Practice address
- 820 Waterbury Stowe Rd
Waterbury, VT 05676-9730 - Phone
- (802) 241-4115
- NPI assigned
- Jul 28, 2026
- Last updated
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 033.0136112 | VT | Primary |
Addresses
Primary practice location
820 Waterbury Stowe Rd
Waterbury, VT 05676-9730
Mailing address
61 N Dorset St Unit 415
South Burlington, VT 05403-6694
Phone (617) 549-4530
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
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": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1881516102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 N DORSET ST UNIT 415",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036694",
"telephone_number": "617-549-4530"
},
{
"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": "056769730",
"telephone_number": "802-241-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKURIA",
"first_name": "REDEAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0136112",
"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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.