Willis Breen, RPH
Individual provider Active NPI Pharmacist · Middlebury, VT
NPI 1821045337 · NPPES record last updated May 3, 2008
Key facts
- NPI
- 1821045337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033-0002937 (VT)
- Practice address
- 263 Court St
Middlebury, VT 05753-8986 - Phone
- (802) 388-9573
- NPI assigned
- May 28, 2006
- 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 |
|---|---|---|---|
| 033-0002937 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033-0002937 | VT | Yes |
Addresses
Primary practice location
263 Court St
Middlebury, VT 05753-8986
Mailing address
119 Highland Way
North Ferrisburg, VT 05473-4020
Phone (802) 578-9349
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2008. 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.