SHAWS PHARMACY #0615
NPI 1306892815
Pharmacy - Community/Retail Pharmacy in Colchester, VT

Q: What is Shaws Supermarkets Inc's NPI number?

The NPI number for Shaws Supermarkets Inc is 1306892815. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shaws Pharmacy #0615.

Q: What is Shaws Supermarkets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since May 26, 2006CLIA 47D1043065 · Waiver

66 MOUNTAIN VIEW DR, COLCHESTER, VT 05446(802) 655-2536(802) 655-2629 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jun 27, 2018, May 3, 2018 and 1 more (4 updates tracked since 2018).

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About Shaws Pharmacy #0615 NPPES

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

SHAWS PHARMACY #0615 (NPI 1306892815) is a healthcare organization registered as a community/retail pharmacy in Colchester, Vermont and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1306892815

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHAWS SUPERMARKETS INC

Location Address66 MOUNTAIN VIEW DRColchester, VT 05446

Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (208) 395-6200

Phone(802) 655-2536

Fax(802) 655-2629

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3932

Enumeration DateMay 26, 2006

Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1306892815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in VT · 038.0093606

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

66 MOUNTAIN VIEW DR, Colchester, VT 05446

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Other Names 1

Doing Business AsShaws Pharmacy #0615

Other Identifiers 2

Other2101654Pk

Medicaid1007544VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D1043065

Shaws Pharmacy #0615 · Colchester, VT

Active · expires Mar 14, 2028

CLIA Number47D1043065

Laboratory TypePharmacy

Certificate Effective DateMarch 15, 2026

Certificate Expiration DateMarch 14, 2028

Laboratory DirectorSeana Bouchard

Laboratory Phone(802) 655-2536

Laboratory LocationShaws Pharmacy #061566 Mountain View Dr, Colchester, VT 05446

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Shaws Supermarkets Inc carries, from the Medicare DMEPOS supplier directory.

Shaws Supermarkets Inc

DMEPOS supplier · Colchester, VT

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Does not accept Medicare assignment

Shaws Supermarkets Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20577599

Medicare Participant SinceSeptember 1, 2005

Supplier Location66 Mountain View DrColchester, VT 05446

Phone(802) 655-2536

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH DONOVAN PHARMD

Pharmacist