Individual provider Active NPI

Thomas Edward Clarence, R.PH, MS

  • Pharmacist
  • Barre, VT
National Provider Identifier
1881779460
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0123144 Issued in VT
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

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
033.0123144VTMDPharmacist
0062522WAMDPharmacist

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.

Verify at the official NPI Registry.