Pharmacy Health Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

038.0125476 Issued in VT

Legal business name

PHARMACY HEALTH SERVICES INC

Doing business as

Wilcox Pharmacy

Practice address

252 Stratton Rd
Rutland, VT 05701-4623

Phone

(802) 775-3351

Fax

(802) 774-5052

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Diane Gray

Title

Coo

Phone

(802) 388-1575

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Wilcox Pharmacy Doing business as

Tax ID family

Pharmacy Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Porter Health Systems, Inc.

  dba Vermont Mail Order Pharmacy

  • Mail Order Pharmacy
  • Middlebury, VT
  • NPI 1033285796
  NPD tax ID

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1972045839",
    "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": "802-775-3351",
            "fax_number": "802-774-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014623",
            "telephone_number": "802-775-3351",
            "fax_number": "802-774-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "802-388-1575"
    },
    "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": "038.0125476",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilcox Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Perry, M.D.
• Peter a. Lakatos, DMD, PC (Total Patient Care Dentistry)
• Peter C. Stickney, MD PC
• Gina Tieri Pezzetti Carlstrom, PT
• Amy Pfenning, PNP
• Mieshau Phillips
• Phoenix Counseling & Wellness, PLC (Lauren LaSante)
• David Wolfe Pierce
• Michael Pierce
• Anna Pietryka, BSN-RN

• Community/Retail Pharmacy in Rutland, VT
• Providers in Rutland, VT by specialty
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.