Individual provider Active NPI

Curtis Matthew Waldvogel, PHARM.D.

  • Pharmacist
  • Naperville, IL
National Provider Identifier
1245714930
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.292459 Issued in IL
Practice address
1751 W Diehl Rd Ste 110
Naperville, IL 60563-4912
Phone
(630) 799-1595
Fax
(630) 596-1488
NPI assigned
Sep 19, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.292459 IL Primary

Addresses

Primary practice location

1751 W Diehl Rd Ste 110
Naperville, IL 60563-4912

Mailing address

434 Kensington Dr
Oswego, IL 60543-7908
Phone (630) 464-5909

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
051.292459ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CPS Telepharmacy, Inc. PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1245714930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 KENSINGTON DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437908",
            "telephone_number": "630-464-5909",
            "fax_number": "630-596-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W DIEHL RD STE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634912",
            "telephone_number": "630-799-1595",
            "fax_number": "630-596-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDVOGEL",
        "first_name": "CURTIS",
        "middle_name": "MATTHEW",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.292459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.