Shire Apothecary, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0350001163 Issued in VT

Legal business name

SHIRE APOTHECARY, INC.

Practice address

13 Elm Street
Woodstock, VT 05091

Phone

(802) 457-2707

Fax

(802) 457-3008

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Imants Vitols

Title

Pres.

Phone

(802) 457-2707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992927479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ELM STREET",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "05091",
            "telephone_number": "802-457-2707",
            "fax_number": "802-457-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ELM STREET",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "05091",
            "telephone_number": "802-457-2707",
            "fax_number": "802-457-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRE APOTHECARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITOLS",
        "authorized_official_first_name": "IMANTS",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "802-457-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "0350001163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007164",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Paul Roylance, PT
• Margaret Roylance
• Angel Lynn Rubino, OTR
• Lorissa Segal, M.D.
• Deanna Sgambato
• Steven Bradbury Smith, MD
• Staffing Solutions of Vermont
• Margaret E Stone, D.D.S.
• Tayloe Denton LLC
• Terrace Communities Woodstock, LLC

• Community/Retail Pharmacy in Woodstock, VT
• Providers in Woodstock, 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 Aug 22, 2020; 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.