Granite Pharmacy Inc.
Granite Pharmacy Inc. is a healthcare organization registered as Long Term Care Pharmacy in Milton, VT, holding Type 2 (organization) NPI 1205878501 since 2006. The authorized official on file is Lisa Dockham, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205878501 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Granite Pharmacy Inc. |
| Other name | <Unavail> |
| Practice address | 576 BALLARD RD STE 2, Milton, VT, 05468 |
| Phone | 8025279930 |
| Fax | 8025279764 |
| Enumeration date | 2006-06-12 |
| Last updated in NPPES | 2013-10-26 |
Authorized official
| Name | Lisa Dockham |
|---|---|
| Title | President |
| Phone | 8025279930 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Primary | 141-0003297 | VT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101633 | Other | — | PK |
| 1006503 | Medicaid | VT | — |
Copy-ready billing details
Provider: Granite Pharmacy Inc. NPI: 1205878501 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 576 BALLARD RD STE 2, Milton, VT, 05468
Verify this record
Cross-check NPI 1205878501 against the authoritative CMS record: view Granite Pharmacy Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Granite Pharmacy Inc.?
What is the NPI number for Granite Pharmacy Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-10-26.