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GRANITE PHARMACY INC
NPI 1205878501
Pharmacy - Long Term Care Pharmacy in Milton, VT

Active since June 12, 2006
576 BALLARD RD STE 2, MILTON, VT 05468(802) 527-9930(802) 527-9764 Get Directions Write a Review

NPPES record last updated: October 26, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Granite Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANITE PHARMACY INC (NPI 1205878501) is a healthcare organization registered as a long term care pharmacy in Milton, Vermont and active in the NPI registry since June 2006. The organization lists Lisa Dockham, President, as its authorized official.

NPPES Registry Identity

NPI1205878501
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGRANITE PHARMACY INC.
Location Address576 BALLARD RD STE 2Milton, VT 05468-4210
Mailing Address576 Ballard Rd Ste 2, Po Box 2094Milton, VT 05468-4210 · (802) 527-9930 · Fax (802) 527-9764
Phone(802) 527-9930
Fax(802) 527-9764
Organization SubpartNo
Authorized OfficialLisa DockhamPresident · (802) 527-9930
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 26, 2013
✔ NPI 1205878501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in VT · 141-0003297
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
576 BALLARD RD STE 2, Milton, VT 05468
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Other Names 1

Doing Business AsGranite Pharmacy Inc

Other Identifiers 3

Medicare NSC3905070001
Other2101633Pk
Medicaid1006503VT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Granite Pharmacy Inc.'s NPI number?

The NPI number for Granite Pharmacy Inc. is 1205878501. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Granite Pharmacy Inc.

Where is Granite Pharmacy Inc. located?

Granite Pharmacy Inc. is located at 576 Ballard Rd Ste 2, Milton, VT 05468. The listed phone number is (802) 527-9930.

What is Granite Pharmacy Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Granite Pharmacy Inc. was last updated on October 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.