MAXWELL'S PHARMACY, INC.


Address: 242 Pearl St, Burlington, VT 05401-8532
Phone: 8028621491

MAXWELL'S PHARMACY, INC. (NPI# 1043321896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043321896
Entity Type Organization
Organization Name MAXWELL'S PHARMACY, INC.
Other Organization Name LAKESIDE PHARMACY
Practice Address 242 Pearl St
Burlington
VT 05401-8532
Practice Telephone 8028621491
Mailing Telephone 8028621491
Enumeration Date 2006-08-31
Last Update Date 2020-06-24
Authorized Official Name KYLE MAXWELL (PRESIDENT/TRES.)
Authorized Official Telephone 8028621562
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
VT 0006673 05
FEDERAL DEA NUMBER FD8117409 01

Other Provider/Organization Names

Other Name Type Code
Lakeside Pharmacy Doing Business As Name - Organization

Office Location

Street Address 242 PEARL ST
City BURLINGTON
State VT
Zip Code 05401-8532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619077468 John W Mc Avoy Pharmacist 242 Pearl St, Burlington, VT 05401-8532 2006-09-22
1245341080 Earl Willard Pease Pharmacist 242 Pearl St, Burlington, VT 05401-8532 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821626748 John Henry Priester Jr. Student in an Organized Health Care Education/Training Program University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 2020-03-27
1730649054 Parisa Heidari Student in an Organized Health Care Education/Training Program Uvmmc 111 Colchester Avenue, Burlington, VT 05401 2019-03-22
1689141988 No Diet Dietitian, LLC Dietitian, Registered 163 Bayberry Circle #204, Burlington, VT 05401 2018-10-25
1073097267 Katherine Dwyer Physical Therapist 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 2018-09-24
1710469481 Nicholas A Fredette Nurse Practitioner 28 S. Williams St., Burlington, VT 05401 2018-08-30
1760987473 Tyler Fanning Psychiatry & Neurology Uvmmv 111 Colchester Avenue, Burlington, VT 05401 2018-03-26
1356845416 Rachel Carlson Student in an Organized Health Care Education/Training Program Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 2018-03-22
1487152096 Garnet Transport Medicine, LLC Ambulance 70 S Winooski Ave Ste 255, Burlington, VT 05401 2018-01-29
1689172660 Valerie Goldberg Dietitian, Registered 163 Bayberry Circle Apt 204, Burlington, VT 05401 2018-01-25
1548774235 Emily R Day Physical Therapist 160 Flynn Avenue, Burlington, VT 05401 2017-11-17
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689105082 Piedmont Health Services Inc Pharmacy 1214 Vaughn Rd Ste 104, Burlington, NC 27217-2800 2017-03-27
1386077634 Three Guys Pharmacy Pharmacy 2479 S Church St, Burlington, NC 27215-5201 2013-08-09
1639471386 Walgreen Co Pharmacy 623 S Burlington Blvd, Burlington, WA 98233-2209 2010-12-01
1033344577 Roundys Supermarkets Inc Pharmacy 1008 Milwaukee Ave, Burlington, WI 53105-1362 2009-05-28
1861545972 Brown & Cole Stores LLC Pharmacy 1500 S Burlington Blvd, Burlington, WA 98233-3220 2007-01-19
1154473718 Rajsita2 Inc Pharmacy 1005 Sunset Rd, Burlington, NJ 08016-2251 2007-01-16
1184727869 North Carolina Cvs Pharmacy LLC Pharmacy 2017 W Webb Ave, Burlington, NC 27217-1063 2006-09-07
1922118561 Costco Wholesale Corporation Pharmacy 1725 S Burlington Blvd, Burlington, WA 98233 2006-08-30
1891800843 Horens Drug Store Pharmacy 130 E Fairhaven Ave, Burlington, WA 98233-1740 2006-08-20
1588679724 Walgreen Co Pharmacy 1747 Patrick Dr, Burlington, KY 41005-7317 2006-07-29
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Competitor

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City BURLINGTON
Zip Code 05401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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