Charisse May C. Vivar, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

S018777 Issued in AZ

Practice address

5342 Dudley Blvd
VA Northern California Health Care System 119/MCC
McClellan, CA 95652-1012

Phone

(916) 561-7422

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Charisse May V. Carolino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1306127261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 WEATHERVANE WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474207",
            "telephone_number": "415-990-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD",
            "address_2": "VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM 119/MCC",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAR",
        "first_name": "CHARISSE MAY",
        "middle_name": "C.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018777",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "66500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISSE MAY",
            "last_name": "CAROLINO",
            "middle_name": "V.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Catherine Uemura
• Uscg Airsta Sacramento
• VA Northern California Health Care System
• Sarah D Vaccaro
• Michelle L. Velega, PT
• Amanda Vu
• Patti Jane Walters, RN
• Jermaine Walton
• James Michael Ward, M.D.
• Paul William Watts, PHARM.D.

• Pharmacist in McClellan, CA
• Providers in McClellan, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.