Mark Coons, RPH
Individual provider Active NPI Pharmacist · Saint Albans, VT
NPI 1720494271 · NPPES record last updated Jul 5, 2014
Key facts
- NPI
- 1720494271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33-0002772 (VT)
- Practice address
- 133 N Main St
Saint Albans, VT 05478-1590 - Phone
- (802) 524-2141
- Fax
- (802) 524-2142
- NPI assigned
- Jul 5, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33-0002772 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33-0002772 | VT | Yes |
Addresses
Primary practice location
133 N Main St
Saint Albans, VT 05478-1590
Mailing address
10 Parsons Ave
Saint Albans, VT 05478-5135
Phone (802) 524-2141
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 Jul 5, 2014. 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.