Michele Obrien, RPH
Individual provider Active NPI Pharmacist · Rutland, VT
NPI 1245514728 · NPPES record last updated Oct 3, 2011
Key facts
- NPI
- 1245514728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0330003768 (VT)
- Practice address
- 10 Woodstock Ave
Rutland, VT 05701-3514 - Phone
- (802) 773-6980
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039655 | NY | MD | Pharmacist |
| 0330003768 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 039655 | NY | |
| Pharmacist | 183500000X | 0330003768 | VT | Yes |
Addresses
Primary practice location
10 Woodstock Ave
Rutland, VT 05701-3514
Mailing address
PO Box 174
Hampton, NY 12837-0174
Phone (518) 282-9721
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2011. 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.