Individual provider Active NPI

Vanessa Gabrielle Phillips, PHARM.D.

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1205058138
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP440176 Issued in PA
Practice address
4301 Broadway, Cpo 99
University of Incarnate Word-Feik School of Pharmacy
San Antonio, TX 78209
Phone
(210) 883-1173
Fax
(210) 822-1516
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1835G0000X PA
Pharmacist 183500000X RP440176 PA Primary
Pharmacist 183500000X 48465 TX

Addresses

Primary practice location

4301 Broadway, Cpo 99
University of Incarnate Word-Feik School of Pharmacy
San Antonio, TX 78209

Mailing address

4301 Broadway, Cpo 99
University of Incarnate Word-Feik School of Pharmacy
San Antonio, TX 78209
Phone (210) 883-1173

Other names 1

  • Vanessa Velikis 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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1835G0000XPAMDPharmacist
RP440176PAMDPharmacist
48465TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1205058138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 BROADWAY, CPO 99",
            "address_2": "UNIVERSITY OF INCARNATE WORD-FEIK SCHOOL OF PHARMACY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-883-1173",
            "fax_number": "210-822-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BROADWAY, CPO 99",
            "address_2": "UNIVERSITY OF INCARNATE WORD-FEIK SCHOOL OF PHARMACY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-883-1173",
            "fax_number": "210-822-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "VANESSA",
        "middle_name": "GABRIELLE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "1835G0000X",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440176",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "VELIKIS",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.