Joseph Brach, PHARM.D, RPH
Individual provider Active NPI Pharmacist · Hinesburg, VT
NPI 1093448698 · NPPES record last updated Jul 1, 2022
Key facts
- NPI
- 1093448698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1441979 (VT)
- Practice address
- 10212 Route 116
Hinesburg, VT 05461-9725 - Phone
- (802) 482-4886
- NPI assigned
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1441979 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Current |
Accepting new patients |
Locations
10212 Route 116
Hinesburg, VT 05461
Phone (802) 264-5086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1441979 | VT | Yes |
Addresses
Primary practice location
10212 Route 116
Hinesburg, VT 05461-9725
Mailing address
10212 Route 116
Hinesburg, VT 05461-9725
Phone (802) 482-4886
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
Other providers in Hinesburg, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.