Active NPI
Sam Ketaneh
- Pharmacist
- Milton, VT
National Provider Identifier
1285591891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0135754
- Practice address
- 259 US-7 N
Milton, VT 05468 - Phone
- (802) 893-0554
- NPI assigned
- Jan 6, 2026
- Last updated
- Jan 6, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0135754 | VT | Primary |
Addresses
Primary practice location
259 US-7 N
Milton, VT 05468
Mailing address
259 US-7 N
Milton, VT 05468
Phone (802) 893-0554
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 |
|---|---|---|---|
| 033.0135754 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1285591891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 US-7 N",
"city": "MILTON",
"state": "VT",
"postal_code": "05468",
"telephone_number": "802-893-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 US-7 N",
"city": "MILTON",
"state": "VT",
"postal_code": "05468",
"telephone_number": "802-893-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETANEH",
"first_name": "SAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0135754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.