Active NPI
Matthew S Urbach, PHARM. D.
- Pharmacist
- Newport, VT
National Provider Identifier
1629336136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76544
- Practice address
- 59 Waterfront PLZ
Newport, VT 05855-4877 - Phone
- (802) 334-2313
- Fax
- (802) 334-1671
- NPI assigned
- May 3, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76544 | VT | Primary |
Addresses
Primary practice location
59 Waterfront PLZ
Newport, VT 05855-4877
Mailing address
4408 US Rte. 5
Derby, VT 05829
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 |
|---|---|---|---|
| 76544 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1629336136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4408 US RTE. 5",
"city": "DERBY",
"state": "VT",
"postal_code": "05829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 WATERFRONT PLZ",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554877",
"telephone_number": "802-334-2313",
"fax_number": "802-334-1671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBACH",
"first_name": "MATTHEW",
"middle_name": "S",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "76544",
"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 May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.