Active NPI
Ticy Varughese, PHARMACIST
- Pharmacist
- Racine, WI
National Provider Identifier
1467736991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15421-40
- Practice address
- 5005 Douglas Ave
Racine, WI 53402-2027 - Phone
- (262) 639-9241
- Fax
- (262) 639-0840
- NPI assigned
- Oct 3, 2011
- Last updated
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 15421-40 | WI | Primary |
Addresses
Primary practice location
5005 Douglas Ave
Racine, WI 53402-2027
Mailing address
5005 Douglas Ave
Racine, WI 53402-2027
Phone (262) 639-9241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15421-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1467736991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 DOUGLAS AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534022027",
"telephone_number": "262-639-9241",
"fax_number": "262-639-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 DOUGLAS AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534022027",
"telephone_number": "262-639-9241",
"fax_number": "262-639-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARUGHESE",
"first_name": "TICY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15421-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
- Laura Van Schyndel, OTR/L
- Jeffrey M Vanbendegom, M.D.
- Maimee Vang, OTR/L
- Reena Elizabeth Varghese, R.PH
- Vahag Vartanian, M.D.
- Laurie Ventela, LPC
- Villa at Lincoln Park, LLC (The Villa at Lincoln Park)
- Renate A Villarreal, PA-C
- Vision Clinic Dr. Savin & Associates
- Vision Therapy Center of Wisconsin, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.