Thomas Viderman

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS51789 Issued in FL

Practice address

105 S Pebble Beach Blvd
Sun City Center, FL 33573-5791

Phone

(813) 633-8082

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1427653310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 BOWDOIN PL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075522",
            "telephone_number": "386-315-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S PEBBLE BEACH BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735791",
            "telephone_number": "813-633-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDERMAN",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS51789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "address_1": "105 S Pebble Beach Blvd",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335735791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Michael Vanmatre, RPH
• Eduardo Manuel Vazquez, PA
• Isabel Vazquez, ATC
• Verimed Health Group Suncity, LLC (dba veriMED Health Group, Sun City)
• Andrew Vevoda, PT
• Jose Ignacio Villaplana, PTA
• Justin Vogt, PHARM.D
• Richard Charles Vollrath, MD
• Delesa Shana Kay Walden
• Walgreen Co (Walgreens #07177)

• Pharmacist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.