STELISE INC (NPI# 1225139181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225139181 |
| Entity Type | Organization |
| Organization Name | STELISE INC |
| Other Organization Name | ENOSBURG PHARMACY |
| Practice Address |
366 Main St Enosburg Falls VT 05450 |
| Mailing Address |
Po Box 9830 Salt Lake City UT 84109-9830 |
| Practice Telephone | 8029339200 |
| Practice Fax Number | 8029339220 |
| Mailing Telephone | 8775404748 |
| Mailing Fax Number | 8017164872 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | STEPHEN COMEAU (PHARMACIST) |
| Authorized Official Telephone | 8029339200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
038-0003335 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1009134 | 05 | |
| PK | 2101711 | 01 |
| Other Name | Type Code |
|---|---|
| ENOSBURG PHARMACY | Doing Business As Name - Organization |
| Street Address |
366 MAIN ST |
| City | ENOSBURG FALLS |
| State | VT |
| Zip Code | 05450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467976381 | Richard William Gallagher | Nurse Practitioner | Enosburg Health Center, 382 Main Street, Enosburg Falls, VT 05450 | 2017-08-02 |
| 1669948279 | Shaina Mae Lussier | Social Worker | 382 Main Street, Enosburg, VT 05450 | 2018-10-22 |
| 1902313331 | Ezra Bashaw | Physician Assistant | 382 Main Street, Enosburg Falls, VT 05450 | 2018-01-08 |
| 1730603390 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 221 Main St, Enosburg Falls, VT 05450 | 2017-07-26 |
| 1326583857 | George Danial | Pharmacist | 221 Main Street, Enosburg, VT 05450 | 2016-12-19 |
| 1043766306 | Alecia Lee Rowe | Pharmacist | 221 Main Street, Enosburg Falls, VT 05450 | 2016-08-28 |
| 1669815577 | Bobbie A Gilpin | Massage Therapist | 303 Main St, Enosburg, VT 05450 | 2013-04-10 |
| 1134478712 | Andrew Gagne | Pharmacist | 221 Main Street, Enosburg Falls, VT 05450 | 2012-08-29 |
| 1366736944 | Deborah J Desautels | Pharmacist | 221 Main St, Enosburg Falls, VT 05450 | 2011-06-01 |
| 1245424852 | Lynn Bennett Mcmorrow | Nurse Practitioner | 382 Main St, Enosburg Falls, VT 05450 | 2007-08-28 |
| Find all providers in zip 05450 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602335 | Walgreen Co | Pharmacy | 621 Route 22a N, Fair Haven, VT 05743-9239 | 2017-07-25 |
| 1295141919 | Remedies Pharmacy LLC | Pharmacy | 308 Route 2, South Hero, VT 05486-4216 | 2014-07-02 |
| 1316374002 | Vermont Cvs Pharmacy LLC | Pharmacy | 1634 Us Route 302, Barre, VT 05641-2322 | 2013-09-26 |
| 1184057382 | Jolly Bee Partners Dba Putney Pharmacy | Pharmacy | 4 Kimball Hill Road, Putney, VT 05346-0508 | 2013-08-12 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1427331784 | Kph Healthcare Services, Inc. | Pharmacy | 10212 Route 116, Hinesburg, VT 05461-9725 | 2011-09-23 |
| 1235443441 | Montpelier Pharmacy Inc | Pharmacy | 413 Canal St, Brattleboro, VT 05301-6619 | 2010-07-29 |
| 1831417690 | Kph Healthcare Services, Inc. | Pharmacy | 151 Vermont Route 12 South, Randolph, VT 05060-9237 | 2010-05-04 |
| 1316195969 | Pharmacy Network | Pharmacy | 158 Brentwood Dr, Ste 7, Colchester, VT 05446-7994 | 2008-09-08 |
| 1215135702 | Kph Healthcare Services, Inc. | Pharmacy | 407 Broad St, Lyndonville, VT 05851-5600 | 2007-07-05 |
| Find all providers with the same taxonomy | ||||
| City | ENOSBURG FALLS |
| Zip Code | 05450 |
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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.