Provider Demographics
NPI:1851302707
Name:PHARMACY INC
Entity Type:Organization
Organization Name:PHARMACY INC
Other - Org Name:THE PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:802-442-5602
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-0737
Mailing Address - Country:US
Mailing Address - Phone:802-442-5602
Mailing Address - Fax:802-442-3931
Practice Address - Street 1:205 NORTH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-1829
Practice Address - Country:US
Practice Address - Phone:802-442-5602
Practice Address - Fax:802-442-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RO00044300332B00000X
TX26423333600000X
FLPH271253336C0003X
VT03800000223336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2101178OtherPK
NY00359297Medicaid
VT0007340Medicaid
0391840001Medicare NSC