Vishwam, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VISHWAM, INC

Doing business as

Bourbonnais Pharmacy

Practice address

963 N Convent St Ste E
Bourbonnais, IL 60914-1386

Phone

(815) 401-4000

Fax

(815) 855-8550

NPI assigned

Dec 21, 2021

Last updated

May 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pradip Vachhani

Title

President

Phone

(815) 401-4000

Specialties & licenses 1

Addresses

Other names 1

• Bourbonnais Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1184384828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N CONVENT ST STE E",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141386",
            "telephone_number": "815-401-4000",
            "fax_number": "815-855-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N CONVENT ST STE E",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141386",
            "telephone_number": "815-401-4000",
            "fax_number": "815-855-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISHWAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "VACHHANI",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-401-4000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourbonnais Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bourbonnais Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ellen Veasey, PA-C
• Cole Jonathan Verbrugge, DC
• Mark Vidas, O.D.
• Edwin Viglia III, LPC
• Joel P Villegas, MD
• Vishwam, Inc (Bourbonnais Pharmacy)
• Vitality Family Medical & Wellness PLLC
• Vna Home Health of Illinois LTD (VNA Healthtrends South)
• Suresh H Wadhwani, M.D. S.C.
• Frederick P Waldschmidt, D.D.S.

• Community/Retail Pharmacy in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.