JUSTIN MICHAEL BOUFFORD (NPI# 1174130157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174130157 |
| Entity Type | Individual |
| Full Name | JUSTIN MICHAEL BOUFFORD |
| Credential | PHARM. D. |
| Practice Address |
218 Lower Mountian View Dr. Colchester VT 05446 |
| Practice Telephone | 8026553156 |
| Practice Fax Number | 8026547461 |
| Mailing Telephone | 8026553156 |
| Mailing Fax Number | 8026547461 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 033.0134175 | VT | Pharmacy Service Providers |
| Street Address |
218 LOWER MOUNTIAN VIEW DR. |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| 1215151410 | State of Vermont | Clinical Medical Laboratory | Vermont Public Health Laboratory, 359 South Park Drive, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153999 | Dustin Lea | Pharmacist | 792 College Pkwy Ste 103, Colchester, VT 05446-3052 | 2018-11-16 |
| 1982119343 | Robert Guarino | Pharmacist | 863 Old Hartford Rd, Colchester, CT 06415-2542 | 2017-12-07 |
| 1932624764 | Frank Demond Gilcreast IIi | Pharmacist | 1184 Prim Rd # 2, Colchester, VT 05446-4449 | 2017-08-14 |
| 1760903967 | Jennifer Lynn Conroy | Pharmacist | 259 Fox Run, Colchester, VT 05446-3949 | 2017-06-28 |
| 1396292942 | Elizabeth Thomas | Pharmacist | 195 Perimeter Lane, Apt#202, Colchester, VT 05446-5774 | 2016-09-01 |
| 1427465699 | Joshua Pruitt | Pharmacist | 60 Linwood Ave Apt H, Colchester, CT 06415-1144 | 2014-07-18 |
| 1891116091 | William Chatoff | Pharmacist | 856 Hercules Dr, Suite 30, Colchester, VT 05446-5839 | 2013-12-16 |
| 1598057887 | Danielle M Fougere | Pharmacist | 1184 Prim Rd Ste 2, Colchester, VT 05446-4449 | 2011-05-05 |
| 1619276227 | Renee Marie Deichert | Pharmacist | 27 Broadway St, Colchester, CT 06415-1001 | 2011-03-22 |
| 1063632750 | Patricia A Bardshar | Pharmacist | 1184 Prim Rd, Colchester, VT 05446-4449 | 2007-04-26 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
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| 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.