Individual provider Active NPI

Seyedeh-Sogol Ravanbakhsh

  • Pharmacist
  • Burlington, VT
National Provider Identifier
1003778242
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0135909 Issued in VT
Practice address
35 Church St
Burlington, VT 05401-4417
Phone
(802) 651-1018
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1001432 MA
Pharmacist 183500000X 033.0135909 VT Primary

Addresses

Primary practice location

35 Church St
Burlington, VT 05401-4417

Mailing address

35 Church St
Burlington, VT 05401-4417
Phone (802) 651-1018

Other names 1

  • Sogol Ravanbakhsh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PH1001432MAMDPharmacist
033.0135909VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont CVS Pharmacy LLC PastSince Nov 30, 2025 Accepting new patients
Vermont CVS Pharmacy LLC PastSince Nov 30, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1003778242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CHURCH ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014417",
            "telephone_number": "802-651-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CHURCH ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014417",
            "telephone_number": "802-651-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVANBAKHSH",
        "first_name": "SEYEDEH-SOGOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1001432",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0135909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOGOL",
            "last_name": "RAVANBAKHSH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.