Kevin Stark

Primary specialty

PharmacistTaxonomy code 183500000X

License

033.0135159 Issued in VT

Practice address

1634 US 302
Barre, VT 05641-2322

Phone

(802) 476-2550

NPI assigned

Nov 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vermont CVS Pharmacy LLC

  • Pharmacy
  • Barre, VT
  • NPI 1316374002
  NPD (past)
• Vermont CVS Pharmacy LLC

  • Pharmacy
  • South Burlington, VT
  • NPI 1831542034
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1780458034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 US 302",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056412322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 US 302",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056412322",
            "telephone_number": "802-476-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0135159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Smith, BCBA
• Diane R Solomon, OTR/L
• Cora A St Laurent
• Abigail G. Stacy, BA
• Connor Stark, BS
• Ellen W Starr, NP
• Janet Kenig Starr, OTR
• John Fenning Steinman, D.M.D.
• Stephanie Landvater, MD PLC
• Stephen J Woodruff MD PLLC

• Pharmacist in Barre, VT
• Providers in Barre, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.