Victor Manuel Vazquez Cervantes, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051302276 Issued in IL

Practice address

2080 No, Il-50
Bourbonnais, IL 60914

Phone

(815) 937-5100

NPI assigned

Sep 13, 2019

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

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1043860877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 N BRIAR HILL LN APT 5",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012243",
            "telephone_number": "312-307-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 NO, IL-50",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-937-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ CERVANTES",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051302276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Vander Veer, PSYD
• Salil R Vasanwala, M.D.
• Brian David Vaughn
• Polly Marie Vaughn
• Rebecca Ellen Veasey, PA-C
• Cole Jonathan Verbrugge, DC
• Mark Vidas, O.D.
• Edwin Viglia III, LPC
• Joel P Villegas, MD

• Pharmacist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.