OrganizationActive
Granite Pharmacy Inc.
NPI 1205878501 · Long Term Care Pharmacy · Milton, VT
Provider details
- NPI number
- 1205878501
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lisa Dockham, President(802) 527-9930
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
576 Ballard Rd Ste 2
Milton, VT 05468-4210
Phone: (802) 527-9930
Fax: (802) 527-9764
Street-level locationGet directions
Mailing address
576 Ballard Rd Ste 2
Milton, VT 05468-4210
Other names (DBA / former)
- Doing business as
- Granite Pharmacy Inc
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2013-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.