Individual provider Active NPI

Israel Santiago Vazquez, PHARMD, BCMTMS

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1457714750
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54756 Issued in FL
Practice address
7351 W Hillsborough Ave
Tampa, FL 33634-4953
Phone
(813) 884-2506
Fax
(813) 885-1493
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS54756 FL Primary
Pharmacist 183500000X 6313 PR

Addresses

Primary practice location

7351 W Hillsborough Ave
Tampa, FL 33634-4953

Mailing address

13441 Palmera Vista Dr
Riverview, FL 33579-3507
Phone (813) 499-8759

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS54756FLMDPharmacist
6313PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Puerto Rico Inc Past Accepting new patients
Holiday CVS LLC PastSince Nov 22, 2020 Accepting new patients
Holiday CVS L.L.C. PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1457714750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13441 PALMERA VISTA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793507",
            "telephone_number": "813-499-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344953",
            "telephone_number": "813-884-2506",
            "fax_number": "813-885-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VAZQUEZ",
        "first_name": "ISRAEL",
        "credential": "PHARMD, BCMTMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54756",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • 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.