Organization Active NPI

Wilcox Medical, Inc

  • Home Infusion Therapy Pharmacy
  • Rutland, VT
National Provider Identifier
1952417636
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
038-0003391 Issued in VT
Legal business name
WILCOX MEDICAL, INC
Practice address
217 Woodstock Ave
Suite B
Rutland, VT 05701-3317
Phone
(802) 775-2808
Fax
(855) 775-7824
NPI assigned
Aug 22, 2006
Reactivated
Nov 2, 2019
Organization subpart
Yes
Parent organization
BIOSCRIP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Michael Shapiro
Title
President & Cfo
Phone
(800) 879-6137

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X 038-0003391 VT Primary
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

217 Woodstock Ave
Suite B
Rutland, VT 05701-3317

Mailing address

4222 Paysphere Circle
Chicago, IL 60674-0042
Phone (800) 879-6137

Other identifiers 4

IdentifierTypeStateIssuer
032274OtherNYLICENSE
1008328MedicaidVT
1004914MedicaidVT
038.0093947-HMIFOtherVTLICENSE

Other names 1

  • BioScrip Infusion Services Doing business as

National Provider Directory

National Provider Directory
Part of
Bioscrip Inc

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1952417636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740042",
            "telephone_number": "800-879-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WOODSTOCK AVE",
            "address_2": "SUITE B",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013317",
            "telephone_number": "802-775-2808",
            "fax_number": "855-775-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX MEDICAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOSCRIP, INC.",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "deactivation_date": "2019-04-10",
        "reactivation_date": "2019-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CFO",
        "authorized_official_telephone_number": "800-879-6137"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "VT",
            "license": "038-0003391",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "032274",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008328",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004914",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038.0093947-HMIF",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioScrip Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BioScrip Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.