Active NPI
Annette Santos Vifquain, PHARMD
- Pharmacist
- Hillsboro, OR
National Provider Identifier
1508172024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0012459
- Practice address
- 658 SE 66TH Ave
Hillsboro, OR 97123-7610 - Phone
- (713) 859-4644
- NPI assigned
- Aug 21, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 0012459 | OR | |
| Pharmacist | 183500000X | 0012459 | OR | Primary |
Addresses
Primary practice location
658 SE 66TH Ave
Hillsboro, OR 97123-7610
Mailing address
658 SE 66TH Ave
Hillsboro, OR 97123-7610
Phone (713) 859-4644
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 |
|---|---|---|---|
| 0012459 | OR | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1282348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1508172024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 SE 66TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971237610",
"telephone_number": "713-859-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 SE 66TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971237610",
"telephone_number": "713-859-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIFQUAIN",
"first_name": "ANNETTE",
"middle_name": "SANTOS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-21",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OR",
"license": "0012459",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0012459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.