Active NPI
Michael Thomas Kentoski, PHARM.D.
- Pharmacist
- Derby, VT
National Provider Identifier
1972938991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0096331
- Practice address
- 4408 U.S. Route 5
Derby, VT 05829 - Phone
- (802) 334-2313
- NPI assigned
- Sep 10, 2013
- Last updated
- Sep 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0096331 | VT | Primary |
Addresses
Primary practice location
4408 U.S. Route 5
Derby, VT 05829
Mailing address
294 Coventry St Apt 4
Newport, VT 05855-1973
Phone (802) 487-9048
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0096331 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1972938991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 COVENTRY ST APT 4",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058551973",
"telephone_number": "802-487-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 U.S. ROUTE 5",
"city": "DERBY",
"state": "VT",
"postal_code": "05829",
"telephone_number": "802-334-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENTOSKI",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0096331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.