Individual provider Active NPI

Ian Doig

  • Pharmacist
  • Burlington, VT
National Provider Identifier
1710359120
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0003680 Issued in VT
Practice address
308 Shelburne Rd
Burlington, VT 05401-4919
Phone
(802) 864-8154
Fax
(802) 660-8774
NPI assigned
Oct 25, 2015
Last updated
Aug 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033.0003680 VT Primary

Addresses

Primary practice location

308 Shelburne Rd
Burlington, VT 05401-4919

Mailing address

308 Shelburne Rd
Burlington, VT 05401-4919
Phone (802) 864-8154

Other practice location 1

47 Executive Dr
Shelburne, VT 05482-7142
Phone (802) 985-0008 ext. 2

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

State licenses

LicenseStateTypeSpecialty
033.0003680VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KPH Healthcare Services, Inc. Past Accepting new patients
KPH Healthcare Services, Inc. PastSince Aug 25, 2019 Accepting new patients
KPH Healthcare Services, Inc. PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 3

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": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1710359120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014919",
            "telephone_number": "802-864-8154",
            "fax_number": "802-660-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014919",
            "telephone_number": "802-864-8154",
            "fax_number": "802-660-8774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Shelburne",
            "state": "VT",
            "postal_code": "054827142",
            "country_code": "US",
            "telephone_number": "802-985-0008 x2",
            "fax_number": "802-985-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOIG",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-25",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.