Healthcare Provider Details

I. General information

NPI: 1235051954
Provider Name (Legal Business Name): EMILE RIVAT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 VETERANS DR
WHITE RIVER JUNCTION VT
05001-7005
US

IV. Provider business mailing address

PO BOX 702
QUECHEE VT
05059-0702
US

V. Phone/Fax

Practice location:
  • Phone: 802-295-9363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHCY-05809
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0136085
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: