Provider Demographics
NPI:1508082116
Name:TMS VT, LLC
Entity Type:Organization
Organization Name:TMS VT, LLC
Other - Org Name:THE MEDICAL STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-864-0908
Mailing Address - Street 1:1284 US ROUTE 302 STE 1
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-2317
Mailing Address - Country:US
Mailing Address - Phone:802-476-3135
Mailing Address - Fax:802-862-6482
Practice Address - Street 1:1400 US ROUTE 302
Practice Address - Street 2:SUITE 9
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2379
Practice Address - Country:US
Practice Address - Phone:802-476-3135
Practice Address - Fax:802-862-6482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1013543Medicaid
VT5914850002Medicare NSC