Individual provider Active NPI

Rick L. Vaniperen, R.PH , M.B.A

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sussex, WI
National Provider Identifier
1013298322
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
13217 Issued in WI
Practice address
W232N7677 Habitat CT
Sussex, WI 53089-1562
Phone
(414) 617-1634
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14326 NV
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 13217 WI Primary

Addresses

Primary practice location

W232N7677 Habitat CT
Sussex, WI 53089-1562

Mailing address

W232N7677 Habitat CT
Sussex, WI 53089-1562
Phone (414) 617-1634

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14326NVMDPharmacist
13217WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1013298322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W232N7677 HABITAT CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530891562",
            "telephone_number": "414-617-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W232N7677 HABITAT CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530891562",
            "telephone_number": "414-617-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANIPEREN",
        "first_name": "RICK",
        "middle_name": "L.",
        "credential": "R.PH , M.B.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "14326",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.