Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTH HERO PHARMACY LLC
Active
Organization
SOUTH HERO PHARMACY LLC
Active
Other names
South Hero Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY MCGREGOR REARDON (PRES)
(802) 655-3544
Entity
Organization
Contact information
Practice address
334 US ROUTE 2, SOUTH HERO, VT 05486
(802) 372-5377
(802) 372-5638
Mailing address
PO BOX 277, 334 US ROUTE 2, SOUTH HERO, VT 05486
(802) 372-5377
(802) 372-5638
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
0380003129
VT
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007138
—
VT
01
—
4703129
OTHER ID NUMBER
—
Enumeration date
10/17/2006
Last updated
09/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers