Active NPI
Kelly Vanvalkenburgh, PHARMD
- Pharmacist
- Bennington, VT
National Provider Identifier
1568875334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0087697
- Practice address
- 194 North St
Bennington, VT 05201-1874 - Phone
- (802) 442-2240
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 033.0087697 | VT | Primary |
| Pharmacist | 183500000X | 0572721 | NY |
Addresses
Primary practice location
194 North St
Bennington, VT 05201-1874
Mailing address
194 North St
Bennington, VT 05201-1874
Phone (802) 442-2240
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0572721 | NY | MD | Pharmacist |
| 033.0087697 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1568875334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 NORTH ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011874",
"telephone_number": "802-442-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 NORTH ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011874",
"telephone_number": "802-442-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANVALKENBURGH",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0087697",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0572721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
- United Counseling Service of Bennington County, Inc.
- Jane L Uva, MD
- Jolene Marie Valdez, APRN, FNP-C
- Louis Valerio
- Amy Kjelgaard Van Der Kar, PT
- Meghan Vecchione
- David Veltre, MD
- Vermont CVS Pharmacy, LLC (CVS Pharmacy #00337)
- Vermont Family Dental PLC (Roligo - Union Street Dental)
- Vermont Permanency Initiative, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.