Active NPI
Larry Lee Springsteen, PHARMD. AND PH.D.
- Pharmacist
- Rutland, VT
National Provider Identifier
1407278849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0050658
- Practice address
- 38 Rutland Shopping PLZ
Price Chopper Pharmacy #131
Rutland, VT 05701-5201 - Phone
- (802) 747-7887
- Fax
- (808) 786-0926
- NPI assigned
- Jan 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0050658 | VT | Primary |
| Pharmacist | 183500000X | 053819 | NY |
Addresses
Primary practice location
38 Rutland Shopping PLZ
Price Chopper Pharmacy #131
Rutland, VT 05701-5201
Mailing address
38 Rutland Shopping PLZ
Price Chopper Pharmacy #131
Rutland, VT 05701-5201
Phone (802) 747-7887
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053819 | Other | VT | PHARMACIST LICENSE FROM STATE OF NEW YORK |
| 033.0050658 | Other | VT | PHARMACIST LICENCE NUMBER FOR STATE OF VERMONT |
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 Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0050658 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390003200000",
"number": "1407278849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 RUTLAND SHOPPING PLZ",
"address_2": "PRICE CHOPPER PHARMACY #131",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057015201",
"telephone_number": "802-747-7887",
"fax_number": "808-786-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 RUTLAND SHOPPING PLZ",
"address_2": "PRICE CHOPPER PHARMACY #131",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057015201",
"telephone_number": "802-747-7887",
"fax_number": "808-786-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGSTEEN",
"first_name": "LARRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD. AND PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-18",
"last_updated": "2014-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0050658",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053819",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE FROM STATE OF NEW YORK",
"identifier": "053819",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENCE NUMBER FOR STATE OF VERMONT",
"identifier": "033.0050658",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.