Individual provider Active NPI

Pooja Vasnani, RPH

  • Pharmacist
  • Carpentersville, IL
National Provider Identifier
1013298587
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.293769 Issued in IL
Practice address
2155 Randall Rd
Carpentersville, IL 60110-3345
Phone
(847) 428-2773
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.293769 IL Primary

Addresses

Primary practice location

2155 Randall Rd
Carpentersville, IL 60110-3345

Mailing address

542 Maple Dr
Streamwood, IL 60107-3163
Phone (224) 392-7682

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.293769ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1013298587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 MAPLE DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073163",
            "telephone_number": "224-392-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 RANDALL RD",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601103345",
            "telephone_number": "847-428-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASNANI",
        "first_name": "POOJA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.