Active NPI
Sally Hogan
- Ambulatory Care Pharmacist
- Saint Albans, VT
National Provider Identifier
1134576648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 033084309
- Practice address
- 170 Swanton Rd
Saint Albans, VT 05478-2601 - Phone
- (802) 524-2918
- Fax
- (802) 524-3517
- NPI assigned
- May 16, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 033084309 | VT | Primary |
Addresses
Primary practice location
170 Swanton Rd
Saint Albans, VT 05478-2601
Mailing address
170 Swanton Rd
Saint Albans, VT 05478-2601
Phone (802) 524-2918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006199 | Medicaid | VT |
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 |
|---|---|---|---|
| 033084309 | VT | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Price Chopper Operating Co of Vermont Inc | Past | Accepting new patients | |
| Golub Corporation | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1083727002
-
- Community/Retail Pharmacy
- Saint Albans, VT
- NPI 1497862312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1134576648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 SWANTON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782601",
"telephone_number": "802-524-2918",
"fax_number": "802-524-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 SWANTON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782601",
"telephone_number": "802-524-2918",
"fax_number": "802-524-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "SALLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "VT",
"license": "033084309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006199",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.