Active NPI
Richard Libby, R.PH.
- Pharmacist
- Berlin, VT
National Provider Identifier
1679934947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0099538
- Practice address
- 160 Paine Tpke N
Berlin, VT 05602-8293 - Phone
- (802) 223-8599
- Fax
- (802) 223-8598
- NPI assigned
- Mar 15, 2016
- 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 | 033.0099538 | VT | Primary |
Addresses
Primary practice location
160 Paine Tpke N
Berlin, VT 05602-8293
Mailing address
160 Paine Tpke N
Berlin, VT 05602-8293
Phone (802) 223-8599
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0099538 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | Past | 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.
-
- Community/Retail Pharmacy
- Ludlow, VT
- NPI 1255182622
-
- Community/Retail Pharmacy
- Berlin, VT
- NPI 1598705782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1679934947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 PAINE TPKE N",
"city": "BERLIN",
"state": "VT",
"postal_code": "056028293",
"telephone_number": "802-223-8599",
"fax_number": "802-223-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 PAINE TPKE N",
"city": "BERLIN",
"state": "VT",
"postal_code": "056028293",
"telephone_number": "802-223-8599",
"fax_number": "802-223-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBY",
"first_name": "RICHARD",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0099538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.