Active NPI
Brandon Vakiner, PHARMD.
- Pharmacist
- Iowa City, IA
National Provider Identifier
1508138157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20192
- Practice address
- 1382 Santa Fe Dr
Iowa City, IA 52246-8646 - Phone
- (319) 499-1005
- NPI assigned
- Jan 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20192 | IA | Primary |
| Pharmacist | 183500000X | 13565 | NE |
Addresses
Primary practice location
1382 Santa Fe Dr
Iowa City, IA 52246-8646
Mailing address
1382 Santa Fe Dr
Iowa City, IA 52246-8646
Phone (319) 499-1005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20192 | IA | MD | Pharmacist |
| 13565 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1508138157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 SANTA FE DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522468646",
"telephone_number": "319-499-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1382 SANTA FE DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522468646",
"telephone_number": "319-499-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKINER",
"first_name": "BRANDON",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-28",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20192",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13565",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.