Organization Active NPI

Vishwam, Inc

Doing business as Bourbonnais Pharmacy

  • Long Term Care Pharmacy
  • Bourbonnais, IL
National Provider Identifier
1184415408
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

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

Mailing address

963 N Convent St Ste E
Bourbonnais, IL 60914-1386
Phone (815) 401-4000

Other names 1

  • BOURBONNAIS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

963 N Convent St
Ste E
Bourbonnais, IL 60914
Phone (815) 401-4000

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1184415408",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISHWAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-04-18",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOURBONNAIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.