Active NPI
Alfonso Eduard Vercueil, RPH
- Pharmacist
- Aliso Viejo, CA
National Provider Identifier
1306409958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41545
- Practice address
- 26891 Aliso Creek Rd
Aliso Viejo, CA 92656-3392 - Phone
- (949) 360-4081
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41545 | CA | Primary |
Addresses
Primary practice location
26891 Aliso Creek Rd
Aliso Viejo, CA 92656-3392
Mailing address
4 Varesa
Irvine, CA 92620-2566
Phone (949) 533-9599
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1306409958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VARESA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202566",
"telephone_number": "949-533-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26891 ALISO CREEK RD",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563392",
"telephone_number": "949-360-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERCUEIL",
"first_name": "ALFONSO",
"middle_name": "EDUARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.