Individual provider Active NPI

Vicki Draper, RPH

  • Pharmacist
  • Orland Park, IL
National Provider Identifier
1144502758
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051035787 Issued in IL
Practice address
17955 Wolf Rd
Orland Park, IL 60467-9427
Phone
(708) 478-3758
Fax
(708) 478-4609
NPI assigned
Sep 9, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 051035787 IL Primary

Addresses

Primary practice location

17955 Wolf Rd
Orland Park, IL 60467-9427

Mailing address

17955 Wolf Rd
Orland Park, IL 60467-9427
Phone (708) 478-3758

Other names 1

  • Prof. Vicki Draper Former name

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
051035787ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1144502758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17955 WOLF RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679427",
            "telephone_number": "708-478-3758",
            "fax_number": "708-478-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17955 WOLF RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679427",
            "telephone_number": "708-478-3758",
            "fax_number": "708-478-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "VICKI",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051035787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "DRAPER",
            "prefix": "PROF.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.