Individual provider Active NPI

Lauren Vaitukaitis

  • Pharmacist
  • Bethany Beach, DE
National Provider Identifier
1194270199
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0004980 Issued in DE
Practice address
32979 Coastal Hwy
Bethany Beach, DE 19930-3752
Phone
(302) 537-3700
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
A1-0004980DEMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0004980 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

32979 Coastal Hwy
Bethany Beach, DE 19930-3752

Mailing address

10620 Pine Needle Rd
Ocean City, MD 21842-4838
Phone (859) 380-3959

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2021.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1194270199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 PINE NEEDLE RD",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218424838",
            "telephone_number": "859-380-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32979 COASTAL HWY",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199303752",
            "telephone_number": "302-537-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITUKAITIS",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0004980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.