Individual provider Active NPI

Thomas Albin Sturm, R.PH.

  • Pharmacotherapy Pharmacist
  • Waterbury, VT
National Provider Identifier
1346445988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
033-0003716 Issued in VT
Practice address
820 Stowe Waterbury Rd
Waterbury, VT 05671-0001
Phone
(802) 241-4115
Fax
(802) 244-7994
NPI assigned
Jun 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 033-0003716 VT Primary

Addresses

Primary practice location

820 Stowe Waterbury Rd
Waterbury, VT 05671-0001

Mailing address

56 Evergreen Dr
Huntington, VT 05462-6220
Phone (802) 434-8484

Other identifiers 1

IdentifierTypeStateIssuer
11890OtherCOPHARMACY LICENSE

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

LicenseStateTypeSpecialty
033-0003716VTMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346445988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EVERGREEN DR",
            "city": "HUNTINGTON",
            "state": "VT",
            "postal_code": "054626220",
            "telephone_number": "802-434-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STOWE WATERBURY RD",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056710001",
            "telephone_number": "802-241-4115",
            "fax_number": "802-244-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURM",
        "first_name": "THOMAS",
        "middle_name": "ALBIN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VT",
            "license": "033-0003716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "11890",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, 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.

Verify at the official NPI Registry.