Active NPI
Eric Jarvis, PHARMD, RPH
- Pharmacist
- Saint Albans, VT
National Provider Identifier
1376214676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0134559
- Practice address
- 164 Swanton Rd
Saint Albans, VT 05478-2601 - Phone
- (802) 524-6543
- NPI assigned
- Sep 26, 2021
- Last updated
- Sep 27, 2023
- 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 | 033.0134559 | VT | Primary |
Addresses
Primary practice location
164 Swanton Rd
Saint Albans, VT 05478-2601
Mailing address
3 Centre Dr
Milton, VT 05468-3779
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0134559 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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 Kinney Drugs #18
- Community/Retail Pharmacy
- Saint Albans, VT
- NPI 1326155508
-
dba Kinney Drugs #153
- Community/Retail Pharmacy
- Brattleboro, VT
- NPI 1407747157
-
dba Kinney Drugs #35
- Community/Retail Pharmacy
- Milton, VT
- NPI 1598872772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1376214676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CENTRE DR",
"city": "MILTON",
"state": "VT",
"postal_code": "054683779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SWANTON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782601",
"telephone_number": "802-524-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "ERIC",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-26",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0134559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.