Active NPI
Cynthia Jean Koch, B.S.
- Pharmacist
- Windsor, VT
National Provider Identifier
1275742124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3055
- Practice address
- 6 Court St
Windsor, VT 05089-1267 - Phone
- (802) 674-6895
- NPI assigned
- May 21, 2007
- 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 | 3055 | NH | Primary |
Addresses
Primary practice location
6 Court St
Windsor, VT 05089-1267
Mailing address
6 Court St
Windsor, VT 05089-1267
Phone (802) 674-6895
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3055 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275742124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 COURT ST",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050891267",
"telephone_number": "802-674-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 COURT ST",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050891267",
"telephone_number": "802-674-6895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "CYNTHIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.