Robert Henry Carpenter, PHARMACIST
Individual provider Active NPI Pharmacist · Rutland, VT
NPI 1962003608 · NPPES record last updated Nov 7, 2020
Key facts
- NPI
- 1962003608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033.0002440 (VT)
- Practice address
- 318 S Main St
Rutland, VT 05701-4907 - Phone
- (802) 775-5858
- NPI assigned
- Nov 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0002440 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martins Foods of South Burlington LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0002440 | VT | Yes |
Addresses
Primary practice location
318 S Main St
Rutland, VT 05701-4907
Mailing address
318 S Main St
Rutland, VT 05701-4907
Phone (802) 775-5858
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2020. 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.