Active NPI
Sean Billings Remillard
- Pharmacist
- Williston, VT
National Provider Identifier
1053078089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0134596
- Practice address
- 600 Blair Park Rd
Williston, VT 05495-7586 - Phone
- (800) 861-1903
- NPI assigned
- Nov 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0134596 | VT | Primary |
Addresses
Primary practice location
600 Blair Park Rd
Williston, VT 05495-7586
Mailing address
54 Flight Line Rd
Fairfax, VT 05454-9713
Phone (802) 881-1062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FA0V820131740000 | Other | VT | BLUECROSS BLUESHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SeanRemillard@hdrxservices.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0134596 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1053078089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 FLIGHT LINE RD",
"city": "FAIRFAX",
"state": "VT",
"postal_code": "054549713",
"telephone_number": "802-881-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BLAIR PARK RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957586",
"telephone_number": "800-861-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMILLARD",
"first_name": "SEAN",
"middle_name": "BILLINGS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-24",
"last_updated": "2021-11-24",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0134596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "FA0V820131740000",
"state": "VT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SeanRemillard@hdrxservices.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "600 Blair Park Rd",
"city": "Williston",
"state": "VT",
"country_code": "US",
"postal_code": "054957586",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.