Vika Ona Bursua, PHARM.D., CACP
Individual provider Active NPI Pharmacist · Chicago, IL
NPI 1619065737 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1619065737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.290692 (IL)
- Practice address
- 820 S Damen Ave
Pharmacy Service 119
Chicago, IL 60612-3728 - Phone
- (312) 569-6863
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.290692 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.290692 | IL | Yes |
Addresses
Primary practice location
820 S Damen Ave
Pharmacy Service 119
Chicago, IL 60612-3728
Mailing address
32 N Cowley Rd
Riverside, IL 60546-2121
Phone (312) 404-6406
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.