EXTENDED CARE PHARMACY LLC (NPI# 1780881342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780881342 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE PHARMACY LLC |
| Other Organization Name | EXTENDED CARE PHARMACY LLC |
| Practice Address |
207 North St Bennington VT 05201-1829 |
| Mailing Address |
Po Box 737 Bennington VT 05201-0737 |
| Practice Telephone | 8024424600 |
| Practice Fax Number | 8024424788 |
| Mailing Telephone | 8024424600 |
| Mailing Fax Number | 8024424788 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | PHILIP ONEILL (PRESIDENT) |
| Authorized Official Telephone | 8024424600 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
0380003355 | VT | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
26401 | TX | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHN10744 | RI | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 28RO00044400 | NJ | Suppliers |
| N | 333600000X | Pharmacy | NR1187 | NH | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PCN.000283 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3099706 | 05 | |
| NY | 02921575 | 05 | |
| PK | 2101741 | 01 | |
| RI | 1780881342 | 05 | |
| VT | 1013888 | 05 |
| Other Name | Type Code |
|---|---|
| EXTENDED CARE PHARMACY LLC | Doing Business As Name - Organization |
| Street Address |
207 NORTH ST |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568637726 | Lisa J Hommel | Pharmacist | 207 North St, Bennington, VT 05201-1829 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1043327224 | Kph Healthcare Services, Inc. | Pharmacy | 600 Blair Park Rd Ste 195, Williston, VT 05495-7529 | 2006-08-24 |
| 1558477232 | Rjw Inc | Pharmacy | 248 Stratton Rd, Rutland, VT 05701-4623 | 2006-08-22 |
| 1194241489 | Smith Management Services, LLC | Pharmacy | 252 Stratton Rd, Rutland, VT 05701-4623 | 2017-08-17 |
| 1972045839 | Pharmacy Health Services Inc | Pharmacy | 252 Stratton Rd, Rutland, VT 05701-4623 | 2016-11-09 |
| 1417390295 | Porter Hospital, Inc. | Pharmacy | 115 Porter Dr, Middlebury, VT 05753-8423 | 2013-04-11 |
| 1073606364 | Mcgrx Inc | Pharmacy | 321 Main St, Suite B, Winooski, VT 05404-1380 | 2006-10-01 |
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on EXTENDED CARE PHARMACY LLC.
| 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.