Active NPI
Carolyn Bowman Bliek, RPH
- Pharmacist
- Colchester, VT
National Provider Identifier
1235568270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0002702
- Practice address
- 66 Mountain View Dr
Colchester, VT 05446-5967 - Phone
- (802) 655-2536
- Fax
- (802) 655-2629
- NPI assigned
- Nov 8, 2013
- Last updated
- Nov 8, 2013
- Sex
- Female
- 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 | 033.0002702 | VT | Primary |
Addresses
Primary practice location
66 Mountain View Dr
Colchester, VT 05446-5967
Mailing address
66 Mountain View Dr
Colchester, VT 05446-5967
Phone (802) 655-2536
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0002702 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shaws Pharmacy #0615
- Community/Retail Pharmacy
- Colchester, VT
- NPI 1306892815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1235568270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MOUNTAIN VIEW DR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054465967",
"telephone_number": "802-655-2536",
"fax_number": "802-655-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MOUNTAIN VIEW DR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054465967",
"telephone_number": "802-655-2536",
"fax_number": "802-655-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN BLIEK",
"first_name": "CAROLYN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0002702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.