Active NPI
Vishwam, Inc
Doing business as Bourbonnais Pharmacy
- Long Term Care Pharmacy
- Bourbonnais, IL
National Provider Identifier
1184415408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- 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.
- Walgreen Co (Walgreens #10339)
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.