Individual provider Active NPI

Samuel Lalinde, PHARMD

  • Pharmacist
  • St Johnsbury, VT
National Provider Identifier
1801179072
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0079727 Issued in VT
Practice address
957 Memorial Dr
St Johnsbury, VT 05819-9238
Phone
(802) 748-2778
Fax
(802) 748-1452
NPI assigned
Sep 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3778 NH
Pharmacist 183500000X 033.0079727 VT Primary

Addresses

Primary practice location

957 Memorial Dr
St Johnsbury, VT 05819-9238

Mailing address

957 Memorial Dr
St Johnsbury, VT 05819-9238

Other practice location 1

16 Church St
Barton, VT 05822-8511
Phone (802) 525-4098

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
3778NHMDPharmacist
033.0079727VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Mar 27, 2022 Accepting new patients
Walgreen Co 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.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1801179072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 MEMORIAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 MEMORIAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199238",
            "telephone_number": "802-748-2778",
            "fax_number": "802-748-1452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Church St",
            "address_purpose": "LOCATION",
            "city": "Barton",
            "state": "VT",
            "postal_code": "058228511",
            "country_code": "US",
            "telephone_number": "802-525-4098",
            "fax_number": "802-525-3794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALINDE",
        "first_name": "SAMUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3778",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0079727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.