Osvaldo Vidal, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS54568 Issued in FL

Practice address

8 NW Main St
Williston, FL 32696-2043

Phone

(352) 528-3409

NPI assigned

Aug 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Newberry, FL
  • NPI 1609039916
  NPD
• Walgreen Co

  • Pharmacy
  • Williston, FL
  • NPI 1861677726
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1023629722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NW MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962043",
            "telephone_number": "352-528-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NW MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962043",
            "telephone_number": "352-528-3409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14040 W Newberry Rd",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "FL",
            "postal_code": "326692763",
            "country_code": "US",
            "telephone_number": "352-332-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "OSVALDO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Medical Center Inc
• Understanding U LLC
• Understanding U Therapy Services, P.a.
• Urja Pharmacy Inc
• V Pro
• Walgreen Co
• Raymond T Webber, DDS,MS
• April M Weber, APRN
• James Williams Jr.
• Williston Facility Inc

• Pharmacist in Williston, FL
• Providers in Williston, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.