Lauren Brady, RPH, PHARMD
Individual provider Active NPI Pharmacist · Saint Albans, VT
NPI 1679920193 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1679920193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033.0103710 (VT)
- Practice address
- 170 Swanton Rd
Saint Albans, VT 05478-2601 - Phone
- (802) 524-2918
- Fax
- (802) 524-3517
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0103710 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golub Corporation | Past | Accepting new patients | |
| Price Chopper Operating Co of Vermont Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0103710 | VT | Yes |
Addresses
Primary practice location
170 Swanton Rd
Saint Albans, VT 05478-2601
Mailing address
170 Swanton Rd
Saint Albans, VT 05478-2601
Phone (802) 524-2918
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006199 | Medicaid | VT |
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.