Matthew Ryan Sicotte, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0010126 Issued in CT

Practice address

164 Swanton Rd
Saint Albans, VT 05478-2601

Phone

(802) 524-6543

Fax

(802) 524-7269

NPI assigned

Mar 4, 2010

Last updated

Mar 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #18

  • Community/Retail Pharmacy
  • Saint Albans, VT
  • NPI 1326155508
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1073836037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SWANTON RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782601",
            "telephone_number": "802-524-6543",
            "fax_number": "802-524-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SWANTON RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782601",
            "telephone_number": "802-524-6543",
            "fax_number": "802-524-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICOTTE",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0010126",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah B Shell, LCMHC
• Heather Viani Shenk, M.D.
• Kristin Sheperd, LADC
• Amanda Shoram
• Frank X. Short, LCMHC
• Maara Devi Singh
• Smile Doctors of Vermont, P.C.
• Caitlin Smith, LICSW
• Christopher Smith
• Nicole Smith

• Pharmacist in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.