Garrett Chase Vickers, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS45281 Issued in FL

Practice address

6042 SW Highway 200
Ocala, FL 34476-5558

Phone

(352) 873-0984

Fax

(352) 854-2816

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  dba CVS Pharmacy #08382

  • Pharmacy
  • Ocala, FL
  • NPI 1568566545
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1447853395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765558",
            "telephone_number": "352-873-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765558",
            "telephone_number": "352-873-0984",
            "fax_number": "352-854-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "GARRETT",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS45281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Samuel Vergara, M.D.
• Lisa Lim Vergara, PHARM.D.
• Josef J K Vesely, MD
• Joana Vicente Vargas, M.D.
• Viceroy Home Health, LLC (Viceroy Home Services)
• Patrick Brandon Vickers, D.O
• Shanawana Letese' Vickers, BA/CM
• Victoria Myles (Beautiful Living)
• Aydee Victoria
• Victory Facility LLC (Victory Care Center)

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ocala, FL
• Providers in Ocala, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.