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EXTENDED CARE PHARMACY LLC NPI 1780881342


NPI Information

NPI: 1780881342
Provider Name: EXTENDED CARE PHARMACY LLC

Doing Business As: EXTENDED CARE PHARMACY LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
207 NORTH ST
BENNINGTON, VT
ZIP 05201
Phone: (802) 442-4600
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EXTENDED CARE PHARMACY LLC is a long term care pharmacy pharmacy in Bennington, VT. The provider is 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. EXTENDED CARE PHARMACY LLC NPI is 1780881342. The provider is registered as an organization entity type.
The provider Is Doing Business As Extended Care Pharmacy Llc.

The provider's business location address is:

207 NORTH ST
BENNINGTON, VT
ZIP 05201-829
Phone: (802) 442-4600
Fax: (802) 442-4788

The provider's authorized official is Philip Oneill .
The authorized official title is President and has the following contact phone number (802) 442-4600.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 8/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy0380003355VERMONTNo
23336L0003XPharmacyLong Term Care Pharmacy26401TEXASNo
33336L0003XPharmacyLong Term Care PharmacyPHN10744RHODE ISLANDNo
4332B00000XDurable Medical Equipment & Medical Supplies28RO00044400NEW JERSEYNo
5333600000XPharmacyNR1187NEW HAMPSHIRENo
63336L0003XPharmacyLong Term Care PharmacyPCN.0002838CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15947210001MEDICARE NSC
22101741OTHERPK
31013888MEDICAIDVERMONT
43099706MEDICAIDNEW HAMPSHIRE
502921575MEDICAIDNEW YORK
61780881342MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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