TY MACWALTERS (NPI# 1679095475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679095475 |
| Entity Type | Individual |
| Full Name | TY MACWALTERS |
| Credential | CPHT |
| Practice Address |
130 Fisher Road Central Vermont Medical Center Berlin VT 05602-0560 |
| Mailing Address |
Po Box 547 Barre VT 05641-0547 |
| Practice Telephone | 8023714857 |
| Practice Fax Number | 8023714408 |
| Mailing Telephone | 8023714169 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
037.0001187 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | STATE LICENSE | 121.0000650 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 Fisher Rd, Berlin, VT 056029516 | 8023714857 | 8023714408 |
| Street Address |
130 FISHER ROAD CENTRAL VERMONT MEDICAL CENTER |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-0560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172853 | Michael William Abajian | Anesthesiology | 130 Fisher Road, Central Vermont Medical Center, Berlin, VT 05641-0547 | 2006-04-11 |
| 1619502101 | Douglas Aaron French | Family Medicine | 130 Fisher Road, Berlin, VT 05602 | 2020-03-05 |
| 1669813630 | Saranya Kodali | Internal Medicine | 130 Fisher Road, Berlin, VT 05602 | 2013-07-08 |
| 1518270057 | Melissa Lindhiem | Speech-Language Pathologist | 130 Fisher Road, Woodridge Nursing Home, Berlin, VT 05602 | 2010-07-26 |
| 1376660977 | Teresa Ann Fama | Internal Medicine | 130 Fisher Road, Mob-b Suite 2-3, Berlin, VT 05602-9522 | 2007-03-26 |
| 1285653410 | Ralph Michael Belding | Pathology | 130 Fisher Road, Central Vermont Hospital, Berlin, VT 05641 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558636092 | Northeastern Vt Reg Hosp | Pharmacy | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2012-03-16 |
| 1295947950 | Brattleboro Retreat | Pharmacy | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-05-04 |
| 1386689875 | Northwestern Medical Center Inc | Pharmacy | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2006-06-18 |
| 1629010194 | Southwestern Vermont Medical Center Inc | Pharmacy | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-06-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.