Healthcare Provider Details

I. General information

NPI: 1093621732
Provider Name (Legal Business Name): DANIEL ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 VT ROUTE 15 E
MORRISTOWN VT
05661-8587
US

IV. Provider business mailing address

445 ROBINSON RD
WARREN VT
05674-9551
US

V. Phone/Fax

Practice location:
  • Phone: 802-888-4239
  • Fax:
Mailing address:
  • Phone: 802-498-8783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0136127
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: