Individual provider Active NPI

Sampson Tona, PHARMD

  • Pharmacist
  • Brattleboro, VT
National Provider Identifier
1548555352
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0052966 Issued in VT
Practice address
499 Canal St
Brattleboro, VT 05301-7112
Phone
(802) 257-4204
Fax
(802) 257-4766
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202209770 VA
Pharmacist 183500000X 033.0052966 VT Primary
Pharmacist 183500000X PH232502 MA
Pharmacist 183500000X R2228 NH

Addresses

Primary practice location

499 Canal St
Brattleboro, VT 05301-7112

Mailing address

65 Frank St Apt 126
Worcester, MA 01604-1068

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

State licenses

LicenseStateTypeSpecialty
PH232502MAMDPharmacist
0202209770VAMDPharmacist
033.0052966VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ash Pharmacy LLC Current Accepting new patients
Ash Pharmacy LLC Current 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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1548555352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FRANK ST APT 126",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CANAL ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017112",
            "telephone_number": "802-257-4204",
            "fax_number": "802-257-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONA",
        "first_name": "SAMPSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209770",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0052966",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH232502",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.