Individual provider Active NPI

Todd C Vanwiel, PHARM D.

  • Pharmacist
  • Denver, CO
National Provider Identifier
1619254612
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16753 Issued in CO
Practice address
1111 S Colorado Blvd
Denver, CO 80246-2901
Phone
(303) 758-8083
Fax
(303) 584-5968
NPI assigned
Nov 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16753 CO Primary

Addresses

Primary practice location

1111 S Colorado Blvd
Denver, CO 80246-2901

Mailing address

1259 Cherry St
Denver, CO 80220-2431
Phone (720) 937-5469

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
16753COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1619254612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 CHERRY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202431",
            "telephone_number": "720-937-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462901",
            "telephone_number": "303-758-8083",
            "fax_number": "303-584-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWIEL",
        "first_name": "TODD",
        "middle_name": "C",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.