=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659149011
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RANPREET SINGH PHARMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2023
-----------------------------------------------------
Last Update Date | 12/15/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7 ESSEX WAY
-----------------------------------------------------
City | ESSEX JUNCTION
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05452-3384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-879-7438
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1690 SHELBURNE RD APT 313
-----------------------------------------------------
City | SOUTH BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05403-7950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 613-979-8546
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 033.0135111
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------