Active NPI
Thomas Edward Clarence, R.PH, MS
- Pharmacist
- Barre, VT
National Provider Identifier
1881779460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0123144
- Practice address
- 20 S Main St
Barre, VT 05641 - Phone
- (802) 479-3381
- Fax
- (802) 479-0640
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0062522 | WA | |
| Pharmacist | 183500000X | 033.0123144 | VT | Primary |
Addresses
Primary practice location
20 S Main St
Barre, VT 05641
Mailing address
20 S Main St
Barre, VT 05641
Phone (802) 479-3381
Other practice location 1
9202 W Gage Blvd Apt P202
Kennewick, WA 99336-8186
Phone (509) 628-3904
Other names 1
- Mr. Lawrence Napoles Timbal
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0123144 | VT | MD | Pharmacist |
| 0062522 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1881779460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S MAIN ST",
"city": "BARRE",
"state": "VT",
"postal_code": "05641",
"telephone_number": "802-479-3381",
"fax_number": "802-479-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S MAIN ST",
"city": "BARRE",
"state": "VT",
"postal_code": "05641",
"telephone_number": "802-479-3381",
"fax_number": "802-479-0640"
}
],
"practiceLocations": [
{
"address_1": "9202 W Gage Blvd Apt P202",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993368186",
"country_code": "US",
"telephone_number": "509-628-3904",
"fax_number": "509-967-8096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARENCE",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "R.PH, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "0062522",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0123144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAWRENCE",
"last_name": "TIMBAL",
"middle_name": "NAPOLES",
"prefix": "MR.",
"credential": "R.PH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.