Active NPI
Michael S Skaar Jr., PHARMD
- Pharmacist
- Winooski, VT
National Provider Identifier
1104339092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0134089
- Practice address
- 321 Main St
Winooski, VT 05404-1380 - Phone
- (802) 655-2444
- NPI assigned
- Nov 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 033.0134089 | VT | Primary |
Addresses
Primary practice location
321 Main St
Winooski, VT 05404-1380
Mailing address
109 Intervale Ave
Burlington, VT 05401-4204
Phone (802) 495-6715
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0134089 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1104339092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 INTERVALE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014204",
"telephone_number": "802-495-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054041380",
"telephone_number": "802-655-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAAR",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0134089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winooski, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.