Individual provider Active NPI

Christalee-Gayle Shian Santouse

  • Pharmacist
  • Newport, VT
National Provider Identifier
1548090525
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0135450 Issued in VT
Practice address
115 Seymour Dr
Newport, VT 05855-9309
Phone
(802) 624-8011
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033.0135450 VT Primary

Addresses

Primary practice location

115 Seymour Dr
Newport, VT 05855-9309

Mailing address

115 Seymour Dr
Newport, VT 05855-9309
Phone (802) 624-8011

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

LicenseStateTypeSpecialty
033.0135450VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Stores East LP PastSince Aug 11, 2024 Accepting new patients
Wal-Mart Stores East, LP PastSince Aug 11, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1548090525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SEYMOUR DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559309",
            "telephone_number": "802-624-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SEYMOUR DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559309",
            "telephone_number": "802-624-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOUSE",
        "first_name": "CHRISTALEE-GAYLE",
        "middle_name": "SHIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0135450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.