Mario Louis Vasconi

Primary specialty

PharmacistTaxonomy code 183500000X

License

22545 Issued in CA

Practice address

1381 Main St
Saint Helena, CA 94574-1904

Phone

(707) 963-1447

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vasconi Drugs

  • Community/Retail Pharmacy
  • Saint Helena, CA
  • NPI 1932233640
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1275167918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 MAIN ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741904",
            "telephone_number": "707-963-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 MAIN ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741904",
            "telephone_number": "707-963-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONI",
        "first_name": "MARIO",
        "middle_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "22545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA135790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Up Valley Orthodontics
• Up Valley Pediatric Dentistry
• Up-Valley Medi-Cal
• Valley Radiological Associates Medical Group, Inc.
• Vasconi Drugs
• Juan C Vasquez, MD
• Rachael Noel Vasquez, AG-ACNP
• Lori Ann Vrabel, RPH
• Amy E Wallace, MD, MPH
• Mary K. Walter, PA

• Pharmacist in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.