Carl Peter Eisenbiegler, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0003794 Issued in VT

Practice address

407 Broad St
Kinney Drugs #94
Lyndonville, VT 05851-5600

Phone

(802) 626-3779

Fax

(802) 626-1089

NPI assigned

Sep 9, 2010

Last updated

Sep 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1487961629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PAUS LN",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056554428",
            "telephone_number": "978-590-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BROAD ST",
            "address_2": "KINNEY DRUGS #94",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058515600",
            "telephone_number": "802-626-3779",
            "fax_number": "802-626-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBIEGLER",
        "first_name": "CARL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "0003794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Clark, D.C.
• Tabitha Cutter
• Whitney Megan Dubois, PHARMD
• Gracie Ann Ducker
• Nicole Dutton
• Holly Ely, BSN, RN, CMT
• Ellyn Forester, CPM, LM
• Christine Marie Fournier, PT
• Kristin Shae Freeto, RN
• Tracy Mae Fried, PT

• Pharmacist in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.