Individual provider Active NPI

Victor Alves, PHARMD, BCGP, FASCP

  • Geriatric Pharmacist
  • Pembroke, MA
National Provider Identifier
1578095337
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
PH23590 Issued in MA
Practice address
125 Church St Ste 90-163
Pembroke, MA 02359-1929
Phone
(508) 284-9974
Fax
(508) 598-0409
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X PH23590 MA Primary
Geriatric Pharmacist 1835G0303X PS44805 FL
Geriatric Pharmacist 1835G0303X RPH04888 RI

Addresses

Primary practice location

125 Church St Ste 90-163
Pembroke, MA 02359-1929

Mailing address

125 Church St Ste 90-163
Pembroke, MA 02359-1929
Phone (508) 284-9974

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
PS44805FLMDGeriatric Pharmacist
RPH04888RIMDGeriatric Pharmacist
PH23590MAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1578095337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST STE 90-163",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591929",
            "telephone_number": "508-284-9974",
            "fax_number": "508-598-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST STE 90-163",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591929",
            "telephone_number": "508-284-9974",
            "fax_number": "508-598-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVES",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCGP, FASCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MA",
            "license": "PH23590",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PS44805",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "RI",
            "license": "RPH04888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.